Turbulent tackle: a novel surgical approach to a rugby-related jejunal perforation

Abstract

Viscus perforation in the context of blunt-force abdominal trauma is a rarity. Within a sporting context, it is especially rare. However, the increasing physicality observed in rugby union, both in the amateur and professional setting, has resulted in a higher rate of serious injury. We report a novel laparoscopic surgical approach to the management of a traumatic jejunal perforation sustained on the playing field in a previously fit and healthy 28-year-old.

Jejenoileal Perforation Secondary to Kick during Soccer Game with Negative Fast: A Case Report

“…Small bowel injury in a sports setting is a rare occurrence with a paucity of reported cases. Up to 2017, only seven cases had reported jejunal perforation resulting from sports activities [3]. This case is a show to improve the safety in sport and Physician concern more and more for abdominal traumas.…”

“…There is some debate in the literature on the mechanism of small bowel injury due to blunt trauma. Three mechanisms are commonly discussed: shear forces, compression between the abdominal wall and the spine, and burst injury due to a sudden increase in Intraluminal pressure [3][4][5][6]. Full-thickness perforations due to rupture forces are most common in the small intestine.…”

“…A delay in diagnosis and definitive treatment of bowel injury may result in increased morbidity and mortality [9]. In hemodynamic stable patients after blunt abdominal trauma, laparoscopy is an acceptable and successful alternative to laparotomy both as a diagnostic and therapeutic procedure [1][2][3][4]. The treatment for small intestine lesions with smaller defects is the primary closure while bowel resection is the treatment of choice for larger lesions and ischemic segments [5].…”

Kickboxing kick – laparoscopic management of jejunal perforation after blunt abdominal trauma – a video vignette

“…Small bowel perforation is an infrequent injury following blunt abdominal trauma and it is rarely reported in a sporting context [1]. A large prospective multi-institutional study on blunt abdominal trauma found that perforating small bowel injury accounted for less than 0.3% of cases.…”

“…Intra-anal fistulotomy with marsupialization for recurrent high intersphincteric fistulaa video vignette doi:10.1111/codi.15071 Dear Editor, Anal fistulas are classified according to their anatomic relationship to the anal sphincter [1]. The internal opening lies at the dentate line: submucosal, runs under the anoderm or the rectal mucosa; intersphincteric, crosses the internal sphincter and reaches the skin; transsphincteric, crosses both sphincters; and suprasphincteric extends above the sphincter complex.…”