Intestinal perforation due to minor blunt abdominal trauma–a harbinger of underlying disease pathology
When a patient suffers a blunt intestinal injury after a low-energy mechanism, be prepared to find a pathologic area in the bowel. We present the case of a previously healthy 13-year-old female who presented complaining of abdominal pain hours after impact with the safety bar of an amusement park r...
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doaj-9a60b6e7dad34113ac0e612edccd210e2020-11-24T23:11:58ZengElsevierJournal of Pediatric Surgery Case Reports2213-57662015-01-0131353710.1016/j.epsc.2014.11.016Intestinal perforation due to minor blunt abdominal trauma–a harbinger of underlying disease pathologyChinwendu Onwubiko0Elliot C. Pennington1David P. Mooney2Russell W. Jennings3Department of Surgery, Boston Children's Hospital, Boston, MA, USADepartment of Surgery, Boston Medical Center, Boston, MA, USADepartment of Surgery, Boston Children's Hospital, Boston, MA, USADepartment of Surgery, Boston Children's Hospital, Boston, MA, USA When a patient suffers a blunt intestinal injury after a low-energy mechanism, be prepared to find a pathologic area in the bowel. We present the case of a previously healthy 13-year-old female who presented complaining of abdominal pain hours after impact with the safety bar of an amusement park ride. Upon operative exploration, she was found to have extensive inflammation of the distal ileum including the ileocecal valve with creeping mesenteric fat and a full-thickness perforation of the inflamed segment. An ileocecectomy and primary anastomosis were performed. Pathology confirmed the presence of Crohn's disease. This case is the first reported incidence of a traumatic perforation leading to a diagnosis of pediatric Crohn's disease. Blunt perforation of the bowel following a low-impact mechanism should heighten the suspicion of an underlying disease process. http://www.sciencedirect.com/science/article/pii/S2213576614001675Blunt abdominal traumaTerminal ileum perforationCrohn's disease |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Chinwendu Onwubiko Elliot C. Pennington David P. Mooney Russell W. Jennings |
spellingShingle |
Chinwendu Onwubiko Elliot C. Pennington David P. Mooney Russell W. Jennings Intestinal perforation due to minor blunt abdominal trauma–a harbinger of underlying disease pathology Journal of Pediatric Surgery Case Reports Blunt abdominal trauma Terminal ileum perforation Crohn's disease |
author_facet |
Chinwendu Onwubiko Elliot C. Pennington David P. Mooney Russell W. Jennings |
author_sort |
Chinwendu Onwubiko |
title |
Intestinal perforation due to minor blunt abdominal trauma–a harbinger of underlying disease pathology |
title_short |
Intestinal perforation due to minor blunt abdominal trauma–a harbinger of underlying disease pathology |
title_full |
Intestinal perforation due to minor blunt abdominal trauma–a harbinger of underlying disease pathology |
title_fullStr |
Intestinal perforation due to minor blunt abdominal trauma–a harbinger of underlying disease pathology |
title_full_unstemmed |
Intestinal perforation due to minor blunt abdominal trauma–a harbinger of underlying disease pathology |
title_sort |
intestinal perforation due to minor blunt abdominal trauma–a harbinger of underlying disease pathology |
publisher |
Elsevier |
series |
Journal of Pediatric Surgery Case Reports |
issn |
2213-5766 |
publishDate |
2015-01-01 |
description |
When a patient suffers a blunt intestinal injury after a low-energy mechanism, be prepared to find a pathologic area in the bowel. We present the case of a previously healthy 13-year-old female who presented complaining of abdominal pain hours after impact with the safety bar of an amusement park ride. Upon operative exploration, she was found to have extensive inflammation of the distal ileum including the ileocecal valve with creeping mesenteric fat and a full-thickness perforation of the inflamed segment. An ileocecectomy and primary anastomosis were performed. Pathology confirmed the presence of Crohn's disease. This case is the first reported incidence of a traumatic perforation leading to a diagnosis of pediatric Crohn's disease. Blunt perforation of the bowel following a low-impact mechanism should heighten the suspicion of an underlying disease process.
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topic |
Blunt abdominal trauma Terminal ileum perforation Crohn's disease |
url |
http://www.sciencedirect.com/science/article/pii/S2213576614001675 |
work_keys_str_mv |
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