Small Intestine Perforation due to Blunt Abdominal Trauma

Six years experience of blunt abdominal trauma leading to small intestine Perforation in Logh­rnan-e-Hakim Medical center. Between Sept. 1982 to Sept. 1988, 24 cases of abdominal blunt trauma leading to perforation of small intestine were managed at Loghman-e-Hakim Medical center. All the cases were treated surgically either by debridment and repair or resection and anas­tomosis, with no mortality rate. There were 4 cases of post operative complication Which 3 of them were treated surgically and one treated by observation. The cause of trauma were car accident in 8 pat (33%), crush syndrome in 3 pat (16.6%); fall in 3 pat (12.5%); and miscellenous such as carriage handle in 6 pat (25%). Our intestinal perforation cases comprised: Doudenum, 2; Jejunum, 14; and Ileum, 8 patients. 20 patients of formentioned cases had only small intestine injury alone wheras 4 other cases had multiple trauma. It is suggested that we should not wait until late symptoms of intestinal perforation appear, and decision for early surgical management is recom­mended as these would be lower surgical complications.