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Research Article Open access CC BY 4.0

Laparoscopic Repair of Ileal Perforation Post Blunt Abdominal Trauma: A Case Report

Mohamed M Elgeldawy, Reham F Alfelakawi, Fahad Alabhoul, Ali H Dokhi

Asian Journal of Case Reports in Surgery · pp. 11–15 · Published 11 Jan 2025

10.9734/ajcrs/2025/v8i1591

Abstract

Blunt trauma to the abdomen is considered one of the most leading causes of death among all age groups. Although the outcome of patients with blunt abdominal injury has improved in the last two decades, in patients with multiple organ injuries, the in-hospital mortality rate was reported as 3–10%. Delayed diagnosis of small bowel perforation can result in serious complications and death, making timely diagnosis critical in the treatment of these patients. The diagnosis of small bowel perforation is usually made by imaging techniques that detect the presence of fluids or gases in the peritoneum or mediastinum. There are different treatment options for small bowel perforation; conservative treatment is not favoured. Herein, we present the case of a 35-year-old gentleman diagnosed with a perforated viscus following a road traffic accident. A diagnostic laparoscopy was performed, and a 1 cm perforation of the terminal ileum was repaired. Postoperative recovery was uneventful except for mild paralytic ileus. The patient was discharged 8 days later and reviewed at the surgical outpatient department after one- and two-months post-surgery, with no reported complaints.

Blunt abdominal trauma Ileal perforation laparoscopic repair Road traffic accident

References (18)

  1. 1 Gastrointestinal perforation: clinical and MDCT clues for identification of aetiology [DOI]
  2. 2 Early management of severe abdominal trauma [DOI]
  3. 3 The pathophysiology and management of bowel and mesenteric injuries due to blunt trauma [DOI]
  4. 4 Blunt small bowel perforation (SBP): An Eastern Association for the Surgery of Trauma multicenter update 15 years later [DOI]
  5. 5 The role of radiology in diagnosing gastrointestinal tract perforation [DOI]
  6. 6 The role of repeated extended FAST in patients with stable blunt thoracoabdominal trauma [DOI]
  7. 7 Patterns and outcomes of patients with abdominal injury: a multicenter study from Iran [DOI]
  8. 8 Gastrointestinal Perforation with Blunt Abdominal Trauma in Children [DOI]
  9. 9 Occult bowel injury after blunt abdominal trauma [DOI]
  10. 10 The Use of Laparoscopy in the Management of Trauma Patients: Brief review [DOI]
  11. 11 Uncommon presentation: isolated small bowel perforation after blunt abdominal trauma in a pediatric patient; a case report [DOI]
  12. 12 A clinical study of hollow viscus injury due to blunt trauma abdomen [DOI]
  13. 13 Classification und Treatment Algorithm of Small Bowel Perforations Based on a Ten-Year Retrospective Analysis [DOI]
  14. 14 Prevalence, Pattern, Mortality, and Morbidity of Traumatic Small Bowel Perforation at King Abdulaziz Medical City: A Retrospective Cohort Study [DOI]
  15. 15 Importance of CT-scan predicting clinical outcomes in gastro- intestinal perforation [DOI]
  16. 16 Diagnostic and therapeutic procedures of small bowel perforation: A retrospective monocentric cohort study [DOI]
  17. 17 A prospective observational study of gastrointestinal perforations following blunt trauma abdomen [DOI]
  18. 18 Intestinal Perforation [DOI]

Cited by 1

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