Laparoscopic evaluation and management of isolated gastric rupture in a boy after blunt abdominal injury

Abstract Background Blunt traumatic gastric perforations in children are rare. Delayed diagnosis will lead to abdominal contamination and may result in morbidity and even mortality. We present a case of an adolescent who sustained blunt abdominal injury in a motocross accident and presented with remarkable hyperdense spherical shaped structures on the computed tomography (CT). Case presentation A 15-year-old boy arrived at the emergency room with an acute abdomen after a motocross accident. A CT scan of the abdomen demonstrated free air and hyperdense round structures in the stomach, pelvic cavity and right paracolic gutter. During emergency laparotomy a traumatic gastric perforation was sutured, a splenic rupture was treated with a vicryl mesh and multiple spherical food scraps were removed from the abdomen. After surgery, the boy clarified that he had eaten a whole bag of colorful and spherical shaped candy just before the accident. Conclusions Traumatic gastric rupture in children is rare but physicians should be aware of this diagnosis in case of blunt abdominal trauma with free air on the CT scan. Gastric contents, in this case candy, can present as hyperdense shaped structures in the abdominal cavity on the CT scan.

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Gastric rupture from blunt abdominal injury

Injury ◽

10.1016/s0020-1383(96)00124-6 ◽

1996 ◽

Vol 27 (10) ◽

pp. 753-754 ◽

Cited By ~ 4

Author(s):

S.B. Dharap ◽

B.N.S. Murthy ◽

H.B. Sheth ◽

A.S. Sawant ◽

T.T. Changlani

Keyword(s):

Abdominal Injury ◽

Blunt Abdominal Injury ◽

Gastric Rupture

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Evisceration Through Multiple Abdominal Wall Defects Following Blunt Abdominal Injury

Pediatric Emergency Care ◽

10.1097/01.pec.0000092584.40174.bf ◽

2003 ◽

Vol 19 (5) ◽

pp. 353-354 ◽

Cited By ~ 3

Author(s):

A.B. van As ◽

H. Rode

Keyword(s):

Abdominal Wall ◽

Abdominal Injury ◽

Abdominal Wall Defects ◽

Blunt Abdominal Injury

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Comment on: “Diagnostic and therapeutic challenges of isolated small bowel perforations after blunt abdominal injury in low income settings: Analysis of twenty three new cases” [Injury 45 (2014) 141–145]

Injury ◽

10.1016/j.injury.2014.02.031 ◽

2014 ◽

Vol 45 (6) ◽

pp. 1021-1022

Author(s):

A.J.A. Holland ◽

S.V.S. Soundappan ◽

D.T. Cass

Keyword(s):

Small Bowel ◽

Low Income ◽

Abdominal Injury ◽

Blunt Abdominal Injury

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COMPLEX PROGRAM OF DIAGNOSTICS AND TREATMENT OF POLYTRAUMATIZED PATIENTS WITH II-III DEGREES OBESITY

Wiadomości Lekarskie ◽

10.36740/wlek202003122 ◽

2020 ◽

Vol 73 (3) ◽

pp. 521-524

Author(s):

Orest M. Chemerys ◽

Olena V. Katelian ◽

Sergii D. Khimich ◽

Igor V. Stoianovskyi

Keyword(s):

Treatment Program ◽

Normal Weight ◽

Abdominal Injury ◽

Complex Treatment ◽

Topographic Features ◽

Blunt Abdominal Injury ◽

Study Results ◽

Complex Program ◽

Differential Complex ◽

Present Group

The aim: Elaboration of the complex program of diagnostics and treatment of the polytraumatized overweight patients. Materials and methods: Clinical material was composed of 64 patients with the combined body trauma who suffered from II-III grade obesity. Results: Main principles of rendering the aid to the polytraumatized overweight patients included the pathophysiological and topographic features of the group. The obtained study results confirmed the credible difference of the traumatic disease progress in the patients with the normal weight and overweight patients which was the basis of our differential complex treatment program. The treatment tactics also had certain characteristics connected with the obesity. The development of RDS syndrome is a typical stage of the traumatic disease during the blunt thoracal trauma in case of obesity. The programmed and urgent relaparotomy, as a method of the stage treatment in the present group of patients, is the integral component of the blunt abdominal injury in case of obesity. Conclusions: The study results proved that our complex program of diagnostics and treatment of the polytraumatized patients shall be basic for the patients with II-III grade obesity.

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Spontaneous reduction of ileoileal adult intussusception after blunt abdominal injury

The American Journal of Emergency Medicine ◽

10.1016/j.ajem.2015.07.053 ◽

2015 ◽

Vol 33 (10) ◽

pp. 1542.e3-1542.e5 ◽

Cited By ~ 1

Author(s):

Mucahit Emet ◽

Abdullah Osman Kocak ◽

Ilker Akbas ◽

Adem Karaman ◽

Sukru Arslan

Keyword(s):

Abdominal Injury ◽

Adult Intussusception ◽

Spontaneous Reduction ◽

Blunt Abdominal Injury

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Isolated injury to the intestine from blunt abdominal injury

Injury ◽

10.1016/s0020-1383(84)80017-0 ◽

1984 ◽

Vol 16 (2) ◽

pp. 131-133 ◽

Cited By ~ 10

Author(s):

T. Rouse ◽

J. Collin ◽

A. Daar

Keyword(s):

Abdominal Injury ◽

Blunt Abdominal Injury ◽

Isolated Injury

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Delayed Presentation of Posttraumatic Diaphragmatic Hernia Masquerading as Recurrent Acute Asthmatic Attack

Case Reports in Medicine ◽

10.1155/2017/5037619 ◽

2017 ◽

Vol 2017 ◽

pp. 1-3

Author(s):

A. I. El-Yakub ◽

U. M. Bello ◽

A. A. Sheshe ◽

H. U. Naaya

Keyword(s):

Diaphragmatic Hernia ◽

Abdominal Injury ◽

Delayed Presentation ◽

Repeated Presentation ◽

Asthmatic Attack ◽

Blunt Abdominal Injury ◽

Missed Diagnosis

Diaphragmatic hernia following blunt abdominal injury is extremely rare and often diagnosed late. Missed diagnosis is also common with this condition. We herein present a delayed presentation of diaphragmatic hernia following blunt abdominal injury that was initially misdiagnosed as recurrent acute asthmatic attack due to repeated presentation with episodic difficulty in breathing.

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