Late presentation of jejunal perforation after thoracic trauma
| Autor: | Vasileios K. Kouritas, Kostas Hatzitheofilou, Efthimiou Matheos, M. Spyridakis, Ioannis Baloyiannis, Nikolaos Desimonas |
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| Rok vydání: | 2009 |
| Předmět: |
Male
Abdominal pain medicine.medical_specialty Time Factors Thoracic Injuries medicine.medical_treatment Perforation (oil well) Laparotomy medicine Humans Hemopneumothorax business.industry Head injury General Medicine Middle Aged medicine.disease Surgery Jejunum medicine.anatomical_structure Abdominal trauma Intestinal Perforation Acute abdomen Emergency Medicine Abdomen medicine.symptom business |
| Zdroj: | The American Journal of Emergency Medicine. 27:1177.e1-1177.e3 |
| ISSN: | 0735-6757 |
| Popis: | Jejunal perforation is extremely rare in trauma especially without initial involvement of the abdomen. We present the case of a delayed jejunal perforation after thoracic trauma with no initial indication of abdominal trauma in a 55-year-old man who was admitted to our department after a road traffic accident. The patient sustained thoracic trauma with rib fractures of the left hemithorax and hemopneumothorax and a mild head injury. On the fourth day of his in-hospital stay, he complained of severe abdominal pain and signs of acute abdomen were observed. He underwent emergency laparotomy where a perforation of the jejunum near the ligament of Treitz was noticed and sutured. His postoperative recovery was uneventful. Physicians treating trauma should always have a high degree of suspicion regarding rare abdominal injuries, with delayed presentation, even if no abdominal involvement is noticed during the initial survey. |
| Databáze: | OpenAIRE |
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