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.

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