Missed Gastric Injuries in Blunt Abdominal Trauma Case report with review of literature
Journal Title: Sultan Qaboos University Medical Journal - Year 2016, Vol 16, Issue 4
Abstract
Hollow viscus injuries of the digestive tract are an uncommon occurrence in blunt abdominal trauma. We report a 39-year-old male who was hit by a vehicle as a pedestrian and admitted to the Sultan Qaboos University Hospital, Muscat, Oman, in 2015. He underwent an exploratory laparotomy which revealed injuries to the distal stomach, liver and descending colon. Postoperatively, the patient was febrile, tachycardic and hypotensive. Abdominal examination revealed distention and tenderness. Te next day, a repeat laparotomy identifed a gastric injury which had not been diagnosed during the initial laparotomy. Although the defect was repaired, the patient subsequently died as a result of multiorgan failure. Missed gastric injuries are rare and are associated with a grave prognosis, particularly for trauma patients. Delays in diagnosis, in addition to associated injuries, contribute to a high mortality rate.
Authors and Affiliations
Ahmed A. Naiem| General Surgery Residency Program, Oman Medical Specialty Board, Muscat, Oman, adhim M. Taqi| General Surgery Residency Program, Oman Medical Specialty Board, Muscat, Oman, Badriya H. Al-Kendi| General Surgery Residency Program, Oman Medical Specialty Board, Muscat, Oman, Hani Al-Qadhi| Department of Surgery, Sultan Qaboos University Hospital, Muscat, Oman
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