Künt Karın Travması Sonrası Gelişen İzole Jejunum Perforasyonu

Öz

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. 

Anahtar Kelimeler

• 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

Kaynakça

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