Traumatic small bowel perforation

Discussion:

Appearance is highly suggestive of small bowel injury.  Blunt trauma to the abdomen is often the cause.

A few points of interest in this case:

1.  Movement artifact (sometimes unavoidable) can contribute to challenge in image interpretation.

2.  Abdominal injuries can present in a delayed fashion. Always review prior imaging.

3. Its teamwork - direct your clinician towards what you think is wrong, not just in image reporting, but opinion.

4.  Never say never - it will come back to bite you one day!.

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