title: Extra-luminal Air Fluid Level on Abdominal X-ray of a Patient with Isolated Jejunal Blow Out: Case report.
abstract: Patients with trivial blunt abdominal trauma may present with isolated jejunal blow out (IJBO). A high index of suspicion is required as delayed presentation or delayed diagnosis may increase morbidity. Presentation with frank perforation peritonitis can be diagnosed by abdominal X-rays. We report the case of a patient who presented with features of peritonitis 10 days after being injured by a knee kick trauma. An erect abdominal X-ray showed extraluminal air-fluid levels, suggesting a hollow viscous injury which on exploration was found to be IJBO.
authors.affiliation: Sheikh Zayed Medical Complex, Rahim Yar Khan, Pakistan.
authors.forename: Khalid Munir
authors.initials: KM
authors.lastname: Bhatti
authors.forename: Mohammed Zulfiqar
authors.initials: MZ
authors.lastname: Ali
authors.forename: Afshan
authors.initials: A
authors.lastname: Khalid
authors.forename: Umar
authors.initials: U
authors.lastname: Mushtaq
authors.forename: Mohammed Idrees
authors.initials: MI
authors.lastname: Anwar