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.
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*