Complete transection of the body of the stomach resulting from blunt trauma.
Gastric perforation due to blunt trauma is rare, especially in children. The authors present a case of complete transection of the stomach in a 10-year-old boy who was thrown across the steel back of a seat in a school bus. Associated injuries included hematoma, a torn spleen, a seromuscular tear of the duodenojejunal flexure and complete transection of the pancreas and rectus abdominis muscle. The boy's postoperative course was complicated by the development of peritonitis with abscess formation and a pancreatic fistula. To the author's knowledge this is The first case of complete transection of the stomach, due to blunt trauma reported in the English literature.
D000007:Abdominal Injuries / Q000601:surgery; D000009:Abdominal Muscles / Q000293:injuries; D000038:Abscess / Q000209:etiology; D000063:Accidents, Traffic; D002648:Child; D006465:Hemoperitoneum / Q000209:etiology; D006801:Humans; D007421:Intestine, Small / Q000293:injuries; D008297:Male; D010179:Pancreas / Q000293:injuries; D010185:Pancreatic Fistula / Q000209:etiology; D010538:Peritonitis / Q000209:etiology; D011183:Postoperative Complications; D013161:Splenic Rupture / Q000209:etiology; D013275:Stomach Rupture / Q000209:etiology*; D014949:Wounds, Nonpenetrating / Q000150:complications*