Fascia, muscle and peritoneal rupture without any skin lesion as a result of blunt abdominal trauma--a case report.
BACKGROUND
Blunt abdominal trauma is one of the important causes of morbidity and mortality in childhood. Rapid and correct diagnosis is critical for blunt abdominal trauma cases.


METHODS
A twelve-year-old male was admitted to our emergency service following a bicycle accident. He had mild abdominal discomfort by palpation located at the lower right abdominal quadrant. A hyperaemic area of 1 x 4 cm, was present on the skin surface. During the CT scan examination, a 1 x 1.8 cm rupture of the right rectus abmominis muscle at the pelvic inlet level was detected. Intra-operatively, we detected an approximately 10 cm irregular fascial rupture, an 8-10 cm muscular rupture of the rectus abdominis muscle and also a 10 cm peritoneal rupture.


CONCLUSIONS
Blunt abdominal trauma may cause severe intra-abdominal tissue and visceral injuries, even if no important clinical findings are present. So, all standard diagnostic procedures must be called into mind in order not to overlook severe intra-abdominal injuries.
Narci
A
A
Department of Pediatric Surgery, Afyonkarahisar Kocatepe University, Faculty of Medicine, Afyon, Turkey. adnannarci@yahoo.com
Sen
Tolga Altuğ
TA
Köken
Reşit
R
D000007:Abdominal Injuries / Q000209:etiology / Q000601:surgery*; D000009:Abdominal Muscles / Q000293:injuries; D000058:Accidental Falls; D001642:Bicycling / Q000293:injuries*; D002648:Child; D005205:Fascia / Q000293:injuries; D006547:Hernia; D006801:Humans; D007410:Intestinal Diseases / Q000209:etiology / Q000601:surgery; D008297:Male; D010537:Peritoneum / Q000293:injuries; D012421:Rupture; D014057:Tomography, X-Ray Computed; D014949:Wounds, Nonpenetrating / Q000601:surgery*