Case Report: A Rare Case of Delayed Presentation Jejunal Perforation Following Blunt Abdominal Trauma

Isolated jejunal perforation caused by blunt abdominal trauma is uncommon and most often seen after motor vehicle accidents. We present a case of “blowout” perforation of the jejunum in a young male who was admitted to outside hospital with abdominal pain following roadside accident. The erect chest radiograph was negative for free air, and patient was discharged after 24 hr of admission. Patient developed mild abdominal pain since discharge for which he took analgesics. Patient came to hospital with severe pain abdomen post food intake. On admission patient had tachycardia = 100/min, blood pressure= 100/60 mm hg. On abdominal exam - abdomen is distended with generalised tenderness and guarding. CT Abdomen s/o free intraperitoneal air. Exploratory laparotomy that followed revealed two perforations of size 0.5cm, 2cm from the ligament of Treitz, clinical suspicion and timely exploration in this case led to prompt surgical intervention and a successful outcome.