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Complex Traumatic Jejunal Perforation With Mesenteric Tear and Intussusception: A Case Report
Khushbu Vaidya1, Pankaj Gharde1, Raju K Shinde1
1General Surgery, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Cureus
|July 9, 2024
Summary
Blunt abdominal trauma can cause serious internal injuries. This case details a complex jejunal perforation and mesenteric tear following a bicycle collision, requiring surgical repair.
Area of Science:
- Trauma Surgery
- Gastrointestinal Surgery
- Emergency Medicine
Background:
- Blunt abdominal trauma presents a wide range of injuries, from minor contusions to life-threatening hollow viscus perforations.
- Prompt diagnosis and management are critical for patients with significant intra-abdominal injuries.
Observation:
- A 52-year-old male sustained complex intra-abdominal injuries after a bicycle-truck collision.
- Clinical presentation included acute abdominal pain and peritonitis, with imaging revealing pneumoperitoneum and free fluid.
Findings:
- Exploratory laparotomy identified a perforated jejunal loop with a mesenteric tear and intussusception.
- Surgical intervention involved segmental bowel resection and repair, with histopathology confirming traumatic perforation.
Implications:
- This case underscores the critical need for timely recognition and multidisciplinary management of blunt abdominal trauma.
- Effective surgical intervention is paramount for improving patient outcomes in complex intra-abdominal injuries.
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