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Updated: Jul 12, 2026
10:51
Evaluating Primary Blast Effects In Vitro
Published on: September 18, 2017
[Tertiary blast injury to the intestines]
Dragan Ignjatović1, Vladimir Cuk, Miodrag Jevtić
1Vojnomedicinska akademija, Klinika za opstu i vaskularnu hirurgiju, Beograd.
Vojnosanitetski Pregled
|December 27, 2005
Summary
This case study details the first instance of tertiary blast injury to the intestine, a type of indirect blast trauma. Understanding this injury mechanism is crucial for diagnosing and treating similar cases.
Area of Science:
- Trauma Surgery
- Military Medicine
- Gastrointestinal Surgery
Background:
- Tertiary blast injury is a rare form of indirect blast trauma.
- This study presents the first documented case of tertiary blast injury to the intestine.
Observation:
- A Serbian Army parachutist sustained an intestinal injury after a parachute malfunction during a 1200m descent.
- The injury mechanism involved reactive energy transfer upon ground impact, leading to intestinal contusion and secondary perforation.
Findings:
- Histological examination of the resected small intestine revealed characteristics consistent with blast injury.
- The diagnosis of tertiary blast injury was confirmed based on injury mechanism and histological findings.
Implications:
- Tertiary blast injuries, while indirect, share traumatic mechanisms with direct blast injuries, involving energy transfer through tissues.
- This case highlights the importance of considering indirect blast mechanisms in penetrating and blunt abdominal trauma evaluations.
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