Gastric perforation following blunt abdominal trauma

Aboobakar, M. R.; Singh, Jaspal; Maharaj, Kameel; Kinoo, Suman Mewa; Singh, Bhugwan

doi:10.1016/j.tcr.2017.07.001

Cited by 16 publications

(19 citation statements)

References 9 publications

(12 reference statements)

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“…The stomach is a well-vascularized organ; therefore, primary repair with an air leak test is widely performed for grade I, II, and III (AAST) injuries of the stomach [12]. Gastrectomy with reconstruction should be considered for tissue loss or devascularization [13]. Regarding duodenal injury, primary repairs can be performed for grade I and II (AAST) duodenal injuries.…”

Section: Discussionmentioning

confidence: 99%

Combined stomach and duodenal perforating injury following blunt abdominal trauma: a case report and literature review

2020

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Background Gastrointestinal injury following blunt abdominal trauma is uncommon; a combined stomach and duodenal perforating injury is even more rare. Because these two organs are located in different spaces in the abdomen, such injuries are difficult to identify. Case presentation A young woman involved in a motor vehicle crash presented to our emergency department with concerns of severe peritonitis. Contrast-enhanced computed tomography of the abdomen revealed pneumoperitoneum and retroperitoneal hematoma in zone 1. An emergency laparotomy was performed, revealing a stomach-perforating injury, which was resolved with primary repair. No obvious injury was observed on retroperitoneal exploration. However, peritonitis presented again on the second postoperative day, and a second laparotomy was performed, revealing a duodenum-perforating injury in its third portion. We performed primary repair with multi-tube-ostomy. The patient recovered well without permanent tube placement or internal bypass. Conclusions Assessing associated injuries in blunt abdominal trauma is crucial because they may be fatal if timely intervention is not undertaken. These types of complicated injuries require a feasible surgical strategy formulated by experienced surgeons, which gives the patient a better chance of survival.

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Section: Discussionmentioning

confidence: 99%

Combined stomach and duodenal perforating injury following blunt abdominal trauma: a case report and literature review

2020

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“…The literature has few reviews of traumatic proximal posterior gastric injury The unique location of the upper stomach and the GE junction, which are protected by the thoracic cage, makes those sites less susceptible to injury. Furthermore, the mobility of the stomach and the thickness of the gastric wall are protective structural features [ 1 ].…”

Section: Discussionmentioning

confidence: 99%

“…proximal posterior gastric injury resulting from blunt trauma have rarely been described in the medical literature [ 1 , 5 ]. They are challenging and often diagnosed late.…”

Section: Introductionmentioning

confidence: 99%

Non operative management of proximal posterior gastric injury in a trauma patient: A case report

AlSubaie

Mrad

Albdah

et al. 2020

International Journal of Surgery Case Reports

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“…Incarceration or obstruction is seen which generally leads to viscera perforation. Complications of gastric perforations include peritonitis and subsequent sepsis leading to high mortality rate [9]. The possible mechanisms of gastric perforation in cases of blunt trauma are (a) herniation of stomach through a defect in the diaphragm and subsequent erosion, (b) shearing forces that cause tear of viscera, or (c) rapid rise of intra-abdominal pressure ending in hollow visceral perforation.…”

Section: Discussionmentioning

confidence: 99%

Double Blow Injury: Diaphragmatic Rupture with Gastric Perforation Following Blunt Trauma

Paswan

Kumar

Chitta

et al. 2019

SN Compr. Clin. Med.

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Diaphragmatic injury is an unusual life threatening complication of blunt trauma abdomen. However, a double blow injury occurring simultaneously such as diaphragmatic hernia and gastric injury is a rare injury. The association of gastric perforation along with diaphragmatic injury increases the mortality as well as morbidity manifold as compared to an isolated diaphragmatic injury. Traumatic diaphragmatic injury has variable clinical presentation ranging from pain in abdomen to respiratory distress and pneumonia. Preoperative diagnosis of diaphragmatic injury is quite demanding and often it goes undetected only to be found later intraoperatively. Although chest X-ray is still the best screening imaging modality to detect the diaphragmatic hernia but occasionally, especially for right-sided diaphragmatic injury, computed tomography and magnetic resonance imaging may be required to detect it in early stage. Here, we report a case of diaphragmatic hernia with gastric perforation sustaining blunt trauma in an 18 years old, young adult. Only a few cases of double blow injury with perforation of the diaphragm and stomach are reported in the literature. We aim to report this case because a prompt intervention with high degree of suspicion is the key to success in managing diaphragmatic hernia with gastric perforation following blunt trauma injury to the abdomen.

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Gastric perforation following blunt abdominal trauma

Cited by 16 publications

References 9 publications

Combined stomach and duodenal perforating injury following blunt abdominal trauma: a case report and literature review

Combined stomach and duodenal perforating injury following blunt abdominal trauma: a case report and literature review

Non operative management of proximal posterior gastric injury in a trauma patient: A case report

Double Blow Injury: Diaphragmatic Rupture with Gastric Perforation Following Blunt Trauma

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