Isolated Small Bowel Perforation After Blunt Abdominal Trauma: Report Of 2 Cases

Symeonidis, Nikolaos; Ballas, Konstantinos; Psarras, Kyriakos; Lalountas, Miltiadis; Rafailidis, Savvas; Pavlidis, Theodoros; Sakantamis, Athanasios
April 2011
Internet Journal of Surgery;Apr2011, Vol. 27 Issue 1, p1
Academic Journal
Isolated perforation of the small bowel after blunt abdominal trauma is infrequent and the diagnosis can be elusive. Although computerized tomography is the modality most commonly used, there is no consensus over the optimal diagnostic approach. Diagnostic difficulties result in delayed surgical treatment and eventually in increased morbidity and mortality. We report two cases of isolated small bowel perforation after blunt abdominal trauma in patients involved in car accidents. Seat belts were used in both cases. Thorough physical examination and immediate diagnostic radiology and laboratory workup failed to detect evidence of any intraabdominal injury. Deterioration of the clinical picture raised suspicion of small bowel perforation and the delayed surgical intervention resulted in postoperative complications and prolonged clinical course.


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