Isolated gastric perforation following blunt abdominal trauma: A case report

Q4 Medicine

Radiology Case Reports Pub Date : 2025-04-18 DOI:10.1016/j.radcr.2025.03.044

Karim Haddar , Leila Haddar , Mohammed Leknani , Wadia Baddou , Nadia Mouna , Hamid Ziani , Siham Nasri , Imane Kamaoui , Imane Skiker

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引用次数: 0

Abstract

Gastric perforation resulting from blunt abdominal trauma is a rare but life-threatening condition, accounting for a small fraction of abdominal injuries in trauma patients. Early identification is crucial due to its nonspecific presentation and diagnostic challenges. We report the case of a 20-year-old male involved in a high-speed motorcycle collision who presented with diffuse abdominal pain and distension. Contrast-enhanced CT imaging revealed pneumoperitoneum and a 4 cm perforation in the anterior gastric antrum, with no associated organ injuries. The patient underwent emergency exploratory laparotomy with primary repair using an omental patch. His postoperative recovery was uneventful, and gastric biopsy results were normal. This case underscores the rarity of isolated gastric perforation in blunt trauma and highlights the pivotal role of CT imaging in diagnosis. It also emphasizes the necessity of prompt surgical intervention to mitigate morbidity and mortality.

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腹部钝性创伤后孤立性胃穿孔1例

钝性腹部创伤引起的胃穿孔是一种罕见但危及生命的疾病，占创伤患者腹部损伤的一小部分。由于其非特异性表现和诊断挑战，早期识别至关重要。我们报告的情况下，一个20岁的男性参与高速摩托车碰撞谁提出弥漫性腹痛和腹胀。CT增强成像显示气腹和前胃窦4厘米穿孔，未见相关器官损伤。患者接受了紧急剖腹探查术，并使用网膜贴片进行初步修复。术后恢复顺利，胃活检结果正常。本病例强调了钝性创伤中孤立性胃穿孔的罕见性，并强调了CT成像在诊断中的关键作用。它还强调了及时手术干预以降低发病率和死亡率的必要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Radiology Case Reports Medicine-Radiology, Nuclear Medicine and Imaging

CiteScore

1.10

自引率

0.00%

发文量

1074

审稿时长

30 days

期刊介绍： The content of this journal is exclusively case reports that feature diagnostic imaging. Categories in which case reports can be placed include the musculoskeletal system, spine, central nervous system, head and neck, cardiovascular, chest, gastrointestinal, genitourinary, multisystem, pediatric, emergency, women''s imaging, oncologic, normal variants, medical devices, foreign bodies, interventional radiology, nuclear medicine, molecular imaging, ultrasonography, imaging artifacts, forensic, anthropological, and medical-legal. Articles must be well-documented and include a review of the appropriate literature.