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Delayed Presentation of Isolated Jejunal Perforation Following Accidental Trauma
Kshitij Arun Manerikar1, Priyank Verma2, Abhijit Ghatage2
1Resident, Department of Surgery, Dr. D.Y. Patil Medical College and Hospital Research Centre, Pune, Maharashtra, India.
Insights
Blunt abdominal trauma can cause bowel perforation in children. This case highlights a rare isolated jejunal perforation in a pediatric patient, successfully treated with early surgical intervention.
Area of Science:
- Pediatric surgery
- Gastrointestinal surgery
- Trauma surgery
Background:
- Blunt abdominal trauma is a significant cause of morbidity and mortality in children.
- Abdominal organ injuries can range from duodenal to general bowel perforation.
- Isolated jejunal perforation is a rare occurrence in the pediatric population.
Observation:
- A three-year-old female child presented with symptoms following a fall from a height.
- The patient sustained an isolated perforation of the jejunum.
Findings:
- Early surgical exploration was performed.
- Prompt surgical intervention was crucial for the patient's recovery.
Implications:
- This case underscores the importance of considering rare diagnoses in pediatric blunt abdominal trauma.
- Timely surgical management is critical for favorable outcomes in pediatric jejunal perforations.
- Further documentation of isolated jejunal injuries in children is warranted.
Abstract:
Blunt abdominal trauma can injure any abdominal organs which had significant morbidity and mortality in paediatric age group. It can lead to duodenal, jejunal or rather any bowel perforation. Isolated jejunal perforation still remains rare entity with less documented reports in specifically paediatric age group. We hereby present a case of three-year-old female child with isolated jejunal perforation, post history of fall from height. Early exploration and prompt surgical intervention led to successful outcome in this patient.
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