1996
DOI: 10.1097/00005373-199603000-00029
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Abstract: Blast injuries are rare, and although blast-induced perforations of the bowel have been described in the past, the entity of a delayed perforation caused by an evolving injury has not been reported. We report three men injured by the explosion of a terrorist bombing in open air. They suffered primary blast injuries, which resulted in isolated perforations of the terminal ileum. They were operated at different times after the blast event. The resected specimens were examined under light microscopy. One patient … Show more

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Cited by 76 publications
(23 citation statements)
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“…This is typical of a blast injury due to shearing forces and splaying of the tissues, where the mucosa of the gas-containing bowel is most susceptible to injury. The same changes have been reported in delayed bowel rupture after explosions [6,7]. There are two previously reported cases of small bowel injuries secondary to extraperitoneal rifle bullets injuries; one of them had a delayed presentation [1,2].…”
Section: Discussionsupporting
confidence: 71%
“…This is typical of a blast injury due to shearing forces and splaying of the tissues, where the mucosa of the gas-containing bowel is most susceptible to injury. The same changes have been reported in delayed bowel rupture after explosions [6,7]. There are two previously reported cases of small bowel injuries secondary to extraperitoneal rifle bullets injuries; one of them had a delayed presentation [1,2].…”
Section: Discussionsupporting
confidence: 71%
“…Gas-containing organs can develop edema, hemorrhage, intestinal contusions, intramural hematomas, and frank hollow organ rupture (9,44). Case studies have shown that even delayed bowel perforation can occur in these patients from evolving mucosal damage (diagnosed at laparotomy) (58). Solid organs like the liver, spleen, and kidney are rarely affected by PBI, but when they are, subcapsular hematomas often develop (44,59).…”
Section: Gi Tractmentioning
confidence: 99%
“…Secondary fragment-related injuries of the abdomen are more frequent than the primary blast injuries (12,13). However, primary blast-related delayed intestinal (terminal ileum and caecum) perforation has also been reported and careful clinical follow up for 48 hours has been suggested (14).…”
Section: Discussionmentioning
confidence: 99%