Evisceration through multiple abdominal wall defects following blunt abdominal injury.
We report an unusual case of a posttraumatic evisceration of small and large bowel through 2 holes in the anterior abdominal wall after a motor vehicle accident. Prompt adequate management consists of reestablishing the perfusion of the eviscerated organ if the blood supply is compromised, performing a full laparotomy to exclude intra-abdominal organ injury and meticulous cleaning of the eviscerated organs before reducing them in the abdomen and closing the abdomen in layers.
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Trauma Unit, Department of Pediatric Surgery, School of Child and Adolescent Health, University of Cape Town, Cape Town, South Africa. basvanas@iafrica.com
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D000007:Abdominal Injuries / Q000209:etiology* / Q000601:surgery; D034861:Abdominal Wall / Q000601:surgery; D000063:Accidents, Traffic; D002648:Child; D003128:Coma / Q000209:etiology; D006259:Craniocerebral Trauma / Q000209:etiology; D004314:Down Syndrome / Q000150:complications; D004630:Emergencies; D005260:Female; D006801:Humans; D007422:Intestines; D009104:Multiple Trauma; D012151:Resuscitation; D014949:Wounds, Nonpenetrating / Q000150:complications*