“Countre-coupe injury of the gut”; isolated traumatic mesenteric border jejunal perforation
Keywords:blunt trauma, peritonitis, perforation, countre-coupe, gut
Blunt trauma abdomen leads to gut perforations commonly on the anti-mesenteric border due to shearing forces. We report a case of a 23-year male who presented to surgical history with a history of blunt trauma to the abdomen. On further evaluation, an isolated perforation of the mesenteric border of jejunum was documented. The perforation was managed by a wedge resection and the patient recuperated well. This case illustrates that traumatic
perforations of the gut can also occur on the mesenteric border and may remain clinically silent. We discuss this case in the context of relevant literature.
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