Kostantinidis Christos, Pitsinis Vassilis, Fragulidis Georgios
2nd Department of Surgery, University of Athens Medical School, Athens, Greece.
Ulus Travma Acil Cerrahi Derg. 2010 Jan;16(1):87-9.
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 our hospital with intense abdominal pain following a physical assault. The Injury Severity Score was 0. Although the erect chest radiograph was negative for free air, abdominal computed tomography scan revealed a large amount of free intraperitoneal air. The exploratory laparotomy that followed revealed only a 3 cm-long perforation of the jejunum, 20 cm from the ligament of Treitz. Although our experience as a trauma center is limited, clinical suspicion and timely exploration in this case led to prompt surgical intervention and a successful outcome.
钝性腹部创伤导致的孤立性空肠穿孔并不常见，最常见于机动车事故后。我们报告一例年轻男性空肠“爆裂”穿孔病例，该患者因遭受人身攻击后剧烈腹痛入院。损伤严重度评分为0分。尽管立位胸部X线片未显示膈下游离气体，但腹部计算机断层扫描显示腹腔内有大量游离气体。随后的剖腹探查仅发现距屈氏韧带20 cm处有一个3 cm长的空肠穿孔。尽管我们作为创伤中心的经验有限，但该病例中的临床怀疑和及时探查导致了迅速的手术干预并取得了成功的结果。
