Related Experiment Video
Updated: Aug 15, 2026
09:21
A Ligated Intestinal Loop Model in Anesthetized Specific Pathogen Free Chickens to Study Clostridium Perfringens Virulence
Published on: October 11, 2018
Isolated jejunal perforation from nonpenetrating abdominal trauma
1Department of Emergency Medicine, Brown University School of Medicine, Rhode Island Hospital, Providence 02903.
The American Journal of Emergency Medicine
|September 1, 1993
Summary
Isolated jejunal perforation from blunt trauma is rare but can present with subtle symptoms. Vigilant serial abdominal examinations are crucial for diagnosing this uncommon intestinal injury, even with minimal initial findings.
Area of Science:
- Trauma surgery
- Gastrointestinal surgery
- Diagnostic imaging
Background:
- Jejunal perforation is a known complication of blunt abdominal trauma.
- Isolated jejunal perforation, without other associated injuries, is an uncommon presentation.
Observation:
- A case of isolated jejunal perforation following blunt trauma is presented.
- The patient exhibited minimal symptoms and physical findings despite the perforation.
Findings:
- Diagnostic procedures like chest radiography, diagnostic peritoneal lavage, and abdominal computed tomography were reviewed for their utility.
- Serial abdominal examinations were identified as a paramount diagnostic tool for intestinal injuries.
Implications:
- Healthcare providers must maintain high vigilance for small bowel perforation after blunt trauma.
- Early and repeated clinical assessment is critical, even when initial signs are not apparent.
Related Concept Videos
01:22Esophageal Perforation-I: Introduction
Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus.
The location of esophageal perforation can vary, occurring anywhere along the esophagus.
01:28Esophageal Perforation-II: Clinical Manifestations and Management
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
01:22Appendicitis-I: Introduction
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
01:21Inflammatory Bowel Disease V: Surgical Management
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
01:07Intestinal Obstruction II: Pathophysiology
Intestinal obstruction triggers a series of physiological responses, starting with gas and fluid accumulation in the bowel segment proximal to the obstruction, leading to distension. This distended intestine compresses the diaphragm, hindering lung expansion and potentially leading to reduced respiratory effort, atelectasis, and pneumonia.To overcome the blockage, the gut intensifies contractions, causing colicky abdominal pain, nausea, and vomiting, which reduces fluid and food intake and...
01:19Appendicitis
Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...