Traumatic small bowel obstruction

Case contributed by Dr Ian Bickle

Presentation

Famer hit in lower abdomen by a water buffalo. Increasing abdominal pain past 4 hours. Rigid abdomen.

Patient Data

Age: 35
Gender: Male

Moderate volume scattered foci of pneumoperitoneum.

Small amount of pelvic free fluid.

Several foci of gas along the right lateral side wall, suggests a small bowel perforation in the distal jejunum/proximal ileum is most likely.

Large bowel unremarkable.

Case Discussion

Traumatic small bowel injuries are not terribly common and as in this case often occur in the context of blunt abdominal trauma.   The cause of the trauma in this case is even less common.

This patient underwent an emergency laparotomy which identified a 1cm perforation in the distal jejenum.

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Case information

rID: 53966
Case created: 16th Jun 2017
Last edited: 22nd Jun 2017
Inclusion in quiz mode: Included

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