Isolated jejunal perforation from nonpenetrating abdominal trauma.

Although jejunal perforation from blunt trauma is a common injury, isolated jejunal perforation is an uncommon entity. A case of isolated jejunal perforation from blunt trauma is presented. This case showed that symptoms and physical findings from jejunal perforation may be minimal. The use of various diagnostic procedures, such as chest radiograph for free air, diagnostic peritoneal lavage, or abdominal computed tomography for diagnosing intestinal perforation were reviewed. Serial abdominal examination continued to be paramount in diagnosing intestinal injuries. Sufficient vigilance and suspicions of small bowel perforation should always be considered after blunt trauma even when symptoms and physical findings are minimal.