Künt Karın Travması Sonrası Gelişen İzole Jejunum Perforasyonu

Year 2019, Volume: 2 Issue: 2, 46 - 52, 31.08.2019

Muhammet Akyüz , Uğur Topal , Şadi İsaoğulları Mustafa Gök

Abstract

Künt abdominal travmanın neden olduğu izole
jejunal perforasyon nadirdir ve çoğu kez motorlu taşıt kazalarından sonra ve
yüksekten düşmeler sonrası görülür. Bu yazıda ; acil servise yüksekten düşme
şikayeti ile başvuran ve ilk muayene, radyolojik incelemeleri normal
değerlendirilen künt karın travmalı bir olgunun müşahede altında iken
tekrarlanan fizik muayene ve kontrol görüntülemeleri ile 24 saat sonra tespit
edilen izole jejnum perforasyonu sunulmuştur. 
Künt travmalı hastalarda da izole ince bağırsak yaralanması
olabileceği düşünülerek yapılan tetkik ve muayenelerin normal  olduğu durumlarda bile, tekrarlayan fizik
muayenelerle hastaları takip etme, görüntüleme ve müşahede süresini uzatmanın
önemi büyüktür Bu tür travma
olgularının gözlem altında tutulması  hayati sorunların tespiti için son
derece önemlidir .Erken tanı ve tedavi olası komplikasyonların ve mortalitenin
önlenmesi açısından önemlidir. 

Keywords

travma, perforasyon, jejenum

Isolated Jejunal perforation following blunt abdominal trauma

Abstract

Isolated jejunal perforation caused by blunt abdominal trauma is rare and
most often seen after motor vehicle accidents and falling down from height. In
this article, a case of blunt abdominal trauma which was admitted to the
emergency department with the complaint of falling from the high places is presented. Even though the first physical and radiological examinations
were normal, isolated jejunal perforation was detected in control examinations
and control radiological images while the patient was under observation.
Control examinations, control radiological images and prolonging the
observation time are very important even when the examinations performed with
the idea of isolated small bowel injury in blunt trauma patients are normal.
Keeping such trauma cases under observation is extremely important to detect  life threatening problems. Early diagnosis and treatment is very
important for prevention of possible complications and mortality.

Keywords

Trauma, perforation, Jejenum

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