Öz
Isolated perforation of the jejunum, following blunt abdominal trauma, is extremely rare. These injuries are difficult to diagnose because initial clinical signs are frequently nonspecific and a delay in treatment increases mortality and morbidity of the patients. Conventional radiograms are often inadequate for diagnosing this subset of trauma. For an accurate and timely diagnosis, the possibility of bowel perforation and the need for repeated examinations should be kept in mind. Herein, we present a 28-year-old man with isolated jejunal perforation following blunt abdominal trauma.
Anahtar Kelimeler
Blunt abdominal trauma isolated jejunal perforation early diagnosis
Kaynakça
- Allen GS, Moore FA, Cox CS Jr, Wilson JT, Cohn JM, Duke JH. . Hollow visceral injury and blunt trauma. J Trauma 1998;45(1):69-75.
- Munshi IA, DiRocco JD, Khachi G. Isolated jejunal perfo- ration after blunt thoracoabdominal trauma. J Emerg Med 2006;30(4):393-5.
- Saku M, Yoshimitsu K, Murakami J, et al. Small bowel perforation resulting from blunt abdominal trauma: in- terval change of radiological characteristics Radiat Med 2006;24(5):358-64.
- Fakhry SM, Watts DD. Current diagnostic approaches lack sensitivity in the diagnosis of perforated blunt small bowel injury: analysis from 275,557 trauma admissions from the EAST multi-institutional HVI trial. J Trauma 2003;54(2):295-306.
- Kafie F, Tominaga GT, Yoong B, Waxman K. Factors related to outcome in blunt intestinal injuries requiring operation. Am Surg 1997;63(10):889-92.
Öz
Künt karın travmasına bağlı izole jejunum perforasyonu oldukça nadirdir. Klinik bulgular başlangıçta genellikle spesifik olmadığından tanısı güçtür. Bu nedenle tedavisi geciken hastalarda mortalite ve morbidite riski artar. Bu tip travmalarda klasik radyolojik yöntemler tanı açısından yetersizdir. Erken tanı açısından barsak perforasyonu ihtimalinin düşünülmesi ve tekrarlayan muayeneler önemlidir. Burada künt karın travmasına bağlı izole jejunum perforasyonu gelişen 28 yaşında erkek hasta sunuldu.
Anahtar Kelimeler
Kaynakça
- Allen GS, Moore FA, Cox CS Jr, Wilson JT, Cohn JM, Duke JH. . Hollow visceral injury and blunt trauma. J Trauma 1998;45(1):69-75.
- Munshi IA, DiRocco JD, Khachi G. Isolated jejunal perfo- ration after blunt thoracoabdominal trauma. J Emerg Med 2006;30(4):393-5.
- Saku M, Yoshimitsu K, Murakami J, et al. Small bowel perforation resulting from blunt abdominal trauma: in- terval change of radiological characteristics Radiat Med 2006;24(5):358-64.
- Fakhry SM, Watts DD. Current diagnostic approaches lack sensitivity in the diagnosis of perforated blunt small bowel injury: analysis from 275,557 trauma admissions from the EAST multi-institutional HVI trial. J Trauma 2003;54(2):295-306.
- Kafie F, Tominaga GT, Yoong B, Waxman K. Factors related to outcome in blunt intestinal injuries requiring operation. Am Surg 1997;63(10):889-92.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Olgu Sunumları |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Eylül 2012 |
| Gönderilme Tarihi | 2 Mart 2015 |
| Yayımlandığı Sayı | Yıl 2012 Cilt: 39 Sayı: 3 |