Traumatic small bowel injury : a diagnosis challenge
Traumatic small bowel injury is rare complication following a blunt abdominaltrauma. We encountered a case of small bowel injury following a motor vehicle accident that was initially missed during the first presentation due to unremarkable findings in examination. Patient re-presented five days...
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| Language: | en |
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Pusat Perubatan Universiti Kebangsaan Malaysia
2021
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| Online Access: | http://journalarticle.ukm.my/18287/1/24_ms0432_pdf_15987.pdf http://journalarticle.ukm.my/18287/ https://medicineandhealthukm.com/toc/16/2 |
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| author | Mohamed Saleem SAK, Ismail Mohd Saiboon, |
| author_facet | Mohamed Saleem SAK, Ismail Mohd Saiboon, |
| author_sort | Mohamed Saleem SAK, |
| building | Tun Sri Lanang Library |
| collection | Institutional Repository |
| content_provider | Universiti Kebangsaan Malaysia |
| content_source | UKM Journal Article Repository |
| continent | Asia |
| country | Malaysia |
| description | Traumatic small bowel injury is rare complication following a blunt abdominaltrauma. We encountered a case of small bowel injury following a motor vehicle
accident that was initially missed during the first presentation due to unremarkable
findings in examination. Patient re-presented five days later with bowel ischaemia
and was managed accordingly. It is a challenge in diagnosing the injury due to
its vague presentation. The usage of Focused Assessment with Sonography for
Trauma (FAST) scan as a screening tool in Emergency Department to pick up
intra-abdominal injury do have limitations especially in diagnosing small bowel
perforation post blunt abdominal trauma. The early phase of small bowel injury
post blunt abdominal trauma rarely produces significant free fluid during the FAST
scan. It is paramount for the emergency doctors to have a high level of suspicion
in high risk cases to provide early supportive treatment and early referral to surgical
team. If left undiagnosed bowel ischaemia may lead to catastrophic complication
affecting the patient’s morbidity and mortality. In conclusion, each case should be
managed and risk stratify individually. Computed tomography abdomen is found
to be more superior in detecting bowel injuries, hence, and investigation of choice
compared to bedside ultrasonograpy in cases with high level of suspicaion. |
| format | Article |
| id | my-ukm.journal.18287 |
| institution | Universiti Kebangsaan Malaysia |
| language | en |
| publishDate | 2021 |
| publisher | Pusat Perubatan Universiti Kebangsaan Malaysia |
| record_format | eprints |
| spelling | my-ukm.journal.182872022-03-25T01:58:59Z http://journalarticle.ukm.my/18287/ Traumatic small bowel injury : a diagnosis challenge Mohamed Saleem SAK, Ismail Mohd Saiboon, Traumatic small bowel injury is rare complication following a blunt abdominaltrauma. We encountered a case of small bowel injury following a motor vehicle accident that was initially missed during the first presentation due to unremarkable findings in examination. Patient re-presented five days later with bowel ischaemia and was managed accordingly. It is a challenge in diagnosing the injury due to its vague presentation. The usage of Focused Assessment with Sonography for Trauma (FAST) scan as a screening tool in Emergency Department to pick up intra-abdominal injury do have limitations especially in diagnosing small bowel perforation post blunt abdominal trauma. The early phase of small bowel injury post blunt abdominal trauma rarely produces significant free fluid during the FAST scan. It is paramount for the emergency doctors to have a high level of suspicion in high risk cases to provide early supportive treatment and early referral to surgical team. If left undiagnosed bowel ischaemia may lead to catastrophic complication affecting the patient’s morbidity and mortality. In conclusion, each case should be managed and risk stratify individually. Computed tomography abdomen is found to be more superior in detecting bowel injuries, hence, and investigation of choice compared to bedside ultrasonograpy in cases with high level of suspicaion. Pusat Perubatan Universiti Kebangsaan Malaysia 2021-12 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/18287/1/24_ms0432_pdf_15987.pdf Mohamed Saleem SAK, and Ismail Mohd Saiboon, (2021) Traumatic small bowel injury : a diagnosis challenge. Medicine & Health, 16 (2). pp. 295-300. ISSN 2289-5728 https://medicineandhealthukm.com/toc/16/2 |
| spellingShingle | Mohamed Saleem SAK, Ismail Mohd Saiboon, Traumatic small bowel injury : a diagnosis challenge |
| title | Traumatic small bowel injury : a diagnosis challenge |
| title_full | Traumatic small bowel injury : a diagnosis challenge |
| title_fullStr | Traumatic small bowel injury : a diagnosis challenge |
| title_full_unstemmed | Traumatic small bowel injury : a diagnosis challenge |
| title_short | Traumatic small bowel injury : a diagnosis challenge |
| title_sort | traumatic small bowel injury : a diagnosis challenge |
| url | http://journalarticle.ukm.my/18287/1/24_ms0432_pdf_15987.pdf http://journalarticle.ukm.my/18287/ https://medicineandhealthukm.com/toc/16/2 |
| url_provider | http://journalarticle.ukm.my/ |