Traumatic small bowel perforation after skydiving

Case contributed by Dr Michael P Hartung

Presentation

Persistent abdominal pain after hard landing while skydiving 2 days previously.

Patient Data

Age: 30 years
Gender: Male

Pneumoperitoneum. Mid abdominal air and fluid collection. Medium ascites. Numerous smaller locules of air and fluid in the left upper quadrant. Some thickening of the jejunum in this location. 

Case Discussion

Traumatic perforation of the jejunum due to hard landing while skydiving. While it is not possible to confidently see the exact site of perforation, the left upper quadrant jejunum can be suspected given the number of smaller locules of air, which are slowly leaking from the site of perforation. This was confirmed with surgical exploration which involved resection of the injured loop of the jejunum and primary anastomosis. 

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Case information

rID: 75372
Published: 27th Mar 2020
Last edited: 26th Jan 2021
Inclusion in quiz mode: Included

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