Presentation
High speed car accident.
Patient Data
Age: 40
Gender: Male
From the case:
Traumatic small bowel injury
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Lower abdominal subcutaneous seat belt bruise. Small volume free intraperitoneal fluid including subtle fluid interposed between small bowel loops. Trace hematoma adjacent to the junction of the descending colon and sigmoid.
From the case:
Traumatic small bowel injury
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Several small locules of free intraperitoneal gas are seen near the umbilicus consistent with traumatic bowel perforation.
Case Discussion
Subtle seat belt related bowel perforation confirmed to involve the small bowel at surgery.
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