title: Isolated jejunal perforation following blunt abdominal trauma.
abstract: Isolated jejunal perforation caused by blunt abdominal trauma is uncommon and most often seen after motor vehicle accidents. We present a case of "blowout" perforation of the jejunum in a young male who was admitted to our hospital with intense abdominal pain following a physical assault. The Injury Severity Score was 0. Although the erect chest radiograph was negative for free air, abdominal computed tomography scan revealed a large amount of free intraperitoneal air. The exploratory laparotomy that followed revealed only a 3 cm-long perforation of the jejunum, 20 cm from the ligament of Treitz. Although our experience as a trauma center is limited, clinical suspicion and timely exploration in this case led to prompt surgical intervention and a successful outcome.
authors.affiliation: 2nd Department of Surgery, University of Athens Medical School, Athens, Greece.
authors.forename: Christos
authors.initials: C
authors.lastname: Kostantinidis
authors.forename: Vassilis
authors.initials: V
authors.lastname: Pitsinis
authors.forename: Georgios
authors.initials: G
authors.lastname: Fragulidis
mesh_terms: D000007:Abdominal Injuries / Q000150:complications* / Q000601:surgery; D000328:Adult; D006801:Humans; D007416:Intestinal Perforation / Q000209:etiology* / Q000601:surgery; D007579:Jejunal Diseases / Q000209:etiology* / Q000601:surgery; D008297:Male; D016896:Treatment Outcome; D014949:Wounds, Nonpenetrating / Q000150:complications* / Q000601:surgery