Small bowel perforation: an unusual presentation for child abuse.
نویسندگان
چکیده
Hollow viscus perforation due to inflicted blunt abdominal injury is uncommon. Diagnosis is frequently delayed because of inaccurate or absent history, nonspecific or delayed physical findings or both, and laboratory tests with low sensitivity. Computed tomographic scanning of the abdomen is the best diagnostic test available. A high index of suspicion is essential to diagnose visceral perforation early, as significant morbidity and mortality results from diagnostic delay.
منابع مشابه
Nosocomial Jejunal Mucormycosis - an Unusual Cause of Perforation Peritonitis
Mucormycosis is a rare but highly invasive opportunistic fungal infection. Gastrointestinal disease although uncommon is highly fatal. We report a case of jejunal mucormycosis in a 24 year old undernourished female with preceding surgical intervention for acute intestinal obstruction of tubercular etiology. On 8th post-operative day, she developed oozing from suture line, prompting e...
متن کاملTraumatic perforation of the hypopharynx--an unusual form of abuse.
Two infants presented with extensive interstitial emphysema of the neck as a result of non-accidental trauma to the pharynx. The clinical presentation, diagnosis, and management of this unusual form of child abuse is discussed.
متن کاملJejunal perforation as an unusual presentation of total colonic aganglionosis in a neonate: A case report
INTRODUCTION Neonatal intestinal perforation usually occurs at distal small bowel secondary to distal bowel obstruction. The aim of this report is to describe an unusual case of total colonic aganglionosis with an initial presentation of proximal jejunal perforation. PRESENTATION OF CASE A male newborn presented with jejunal perforation on the fifth day of life and was treated by laparoscopic...
متن کاملtation of concurrent small bowel perforation and gastric necrosis following an incidence of low impact trauma. CASE PRESENTATION A 73-year-old gentleman presented to accident and emer- gency with a 5-day history of increasing lower abdomi-
1 of 5 BACKGROUND Cases of gastric ischaemia are very rare but are important to consider as they are associated with a high mortality following surgical resection of necrotic tissue. A number of cases have been described relating to a number of causes ranging from ingestion of caustic substances to extreme acute gastric dilatation. We present an unusual presentation of concurrent small bowel pe...
متن کاملOrthotopic neobladder perforation: an unusual presentation of small bowel obstruction
Orthotopic bladder reconstruction is becoming increasingly popular in patients who have undergone radical cystectomy. One of the rare complications is spontaneous rupture, which presents with various symptoms, but in particular, abdominal pain. We report a case of orthotopic bladder perforation in a patient who presented with the symptoms and signs of small bowel obstruction.
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- The Journal of the American Osteopathic Association
دوره 100 8 شماره
صفحات -
تاریخ انتشار 2000