
Isolated “Blow Out” Jejunal Perforation Following Blunt Abdominal Trauma- Experience of Two Cases
1120-1122
Correspondence
B V Goudar
Associate Professor, Dept. of Surgery,
SN Medical College and HSK Hospital,
Bagalkot, Karnataka, India-587101.
Telephone: +918354-235400
E-mail: drbvgoudar@yahoo.co.in
Small bowel injury following blunt abdominal trauma has been widely reported. Isolated jejunal perforation which is caused by blunt abdominal trauma is rare and is most often seen in road traffic accidents. Here, we present two cases of isolated jejunal perforation due to raised intra abdominal pressure in the form of abdominal tightening by the dhoti after it was caught in the belt of an engine and a fall from the stairs while stepping down. Explorative laparotomy revealed the slit-like perforation on the anti mesenteric border. Early surgical intervention led to good recovery in both the cases. A high index of suspicion, repeated clinical examination and the proper utilization of investigational tools definitely helped us in managing these kinds of rare cases.