EDITOR'S QUIZ : GI SNAPSHOT: Late complication of blunt abdominal trauma

Abboud, B.; Sleilaty, G.; Jaoude, J. B.; Riachi, M.
October 2004
Gut;Oct2004, Vol. 53 Issue 10, p1484
Academic Journal
This article presents the case of a 34 year old man, who was evaluated in the emergency department for a two day history of abdominal pain, nausea, vomiting, dyspnoea, and breathlessness. He had a history of blunt abdominal trauma 13 years ago with recurrent symptoms of bowel obstruction resolving spontaneously. The patient reported having had bowel movements the morning of his presentation but no subsequent passing of flatus. No breath sounds were heard in the left lower thorax. Laboratory work demonstrated elevated white blood cell count. Plain chest films obviated an elevated diaphragm bilaterally, more pronounced on the left side.


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