Closed Trauma of the Abdomen by Blast Effect

Introduction: Close abdominal trauma is common. These traumas occur in the context of road accidents, landslides, attacks. The mechanism of these injuries can be: by direct shock or by indirect shock (blast effect). We report a case of closed trauma of the abdomen. by blast effect following a mishandling of a firearm followed by a review of the literature. Observation: This is a 26-year-old young man, admitted to the emergency room of the G-point University Hospital for abdominal pain after trauma to the buttock by a firearm with closed trauma to the abdomen. The evolution 10 hours after the accident was marked by abdominal pain associated with hemodynamic instability which prompted an emergency laparotomy which led to the discovery of a parietal hematoma and a hematoma of the meso going from the sigmoid colon to the rectum. Treatment for evacuation of parietal hematoma, trimming of the entrance door.