title: Abdominal trauma by ostrich.
abstract: BACKGROUND
  Ostriches typically avoid humans in the wild, since they correctly assess humans as potential predators, and, if approached, often run away. However, ostriches may turn aggressive rather than run when threatened, especially when cornered, and may also attack when they feel the need to defend their offspring or territories.
  
  
  METHODS
  A 71-year-old male patient presented with intra abdominal injury sustained from being kicked in the abdominal wall by an ostrich. During laparotomy, were found free peritoneal effusion and perforation of the small intestine.
  
  
  CONCLUSIONS
  The clinical history and physical examination are extremely important for diagnostic and therapeutic decision making. CT-scan is the most accurate exam for making diagnosis. Surgery is the treatment of choice, and is always indicated when there is injury to the hollow viscera. In general it is possible to suture the defect.
  
  
  CONCLUSIONS
  In cases of blunt abdominal trauma by animals is necessary to have a low threshold of suspicion for acute abdomen.
authors: ULS Castelo Branco, Cirurgia, Av. Pedro Alvares Cabral, 6000-084 Castelo Branco, Portugal.
authors: Sergiu
authors: S
authors: Usurelu
authors: ULS Castelo Branco, Cirurgia, Av. Pedro Alvares Cabral, 6000-084 Castelo Branco, Portugal.
authors: Vanessa
authors: V
authors: Bettencourt
authors: ULS Castelo Branco, Cirurgia, Av. Pedro Alvares Cabral, 6000-084 Castelo Branco, Portugal.
authors: Gina
authors: G
authors: Melo
keywords: Blunt abdominal trauma; Intestinal perforation; Laparotomy; Ostrich