interesting_case Delayed perforation after blunt trauma

[Amin]

I had an 11 years old boy who presented with delayed perforation of the jejunem after blunt trauma that was inflicted 3 days prior to referral. If somebody have similar cases we can Wright it for publication.

[Ahmed Nabil]

I had two cases prof,
1- 4 years old boy with Jejunum perforation 5 cm after DJ, presented one day later after blunt trauma
2- 9 years old boy with mid-sigmoid perforation presented 4 days after blunt trauma

[Ahmednabilps]

Dear all, based on your experience, what do you recommend, when I have trauma patient which is free after being observed for 48 h, to discharge with alarming signs or to keep admitted, and for how long???

[Ahmed Nabil]

dear dr ahmed,
In my humble opinion, oral intake toleration for 72 hours is enough, in the absence of fever/abdominal manifestations

[Amin]

fully agree. it is impossible to expect bowel perforation with no alarming symotoms. we always recommend slise folliw up one after 48 hours and after one week. with advise to comecany time if alarming symptoms appear.

[Amin]

the number of cases of delayed perforation after blunt traima are very small. we can publish our experience if you send me the detsils and radiology with any operative imagrs.

[Admin]

Case of prof Amin

This is a 12 years old boy with delayed jejunal perforation after blunt bike trauma