Delayed Presentation of Concomitant Mid-ileal Mesenteric Tear and Perforation Following Blunt Abdominal Trauma: A...

The abdomen is involved in most of the trauma cases ranging from a simple to a life-threatening one. Blunt trauma is more dangerous than penetrating trauma to the abdomen. Though blunt abdominal trauma (BAT) is common, its diagnostic difficulties lead to fatal consequences, mainly attributable to the delay in diagnosis owing to the masquerading normalcy in the index presentation of the patient. Morbidity and mortality rates of hollow viscus and mesenteric injuries are quite high per se, with diagnostic delays worsening the scenario. Successful management of the patient lies mainly in early diagnosis and treatment of the underlying bowel pathology. We hereby report a case of a 48-year-old male, who presented with a mid-ileal mesenteric tear and a separate mid-ileal perforation, 96 hours later than trauma and was managed with laparotomy and primary anastomosis.