Extra-luminal Air Fluid Level on Abdominal X-ray of a Patient with Isolated Jejunal Blow Out; Case Report

Extra-luminal Air Fluid Level on Abdominal X-ray of a Patient with Isolated Jejunal Blow Out; Case Report

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Patients with trivial blunt abdominal trauma may present with isolated jejunal blow out (IJBO). A high index of suspicion is required as delayed presentation or delayed diagnosis may increase morbidity. Presentation with frank perforation peritonitis can be diagnosed by abdominal X-rays. We report t...

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Main Authors: Khalid Munir Bhatti, Mohammed Zulfiqar Ali, Afshan Khalid, Umar Mushtaq, Mohammed Idrees Anwar
Format: Article
Language:English
Published: Sultan Qaboos University 2012-05-01
Series:Sultan Qaboos University Medical Journal
Subjects:
Blunt trauma
Delayed diagnosis
Intestinal perforation
Jejunum
Peritonitis
Case report
Pakistan
Online Access:http://web.squ.edu.om/squmj/includes/tng/pub/tNG_download.asp?id=90bd856902d9ccc6441729b06588fedb
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spelling doaj-a4be40d79a4e4a64bf12528a15cbe8af2020-11-25T01:27:05ZengSultan Qaboos UniversitySultan Qaboos University Medical Journal 2075-051X2075-05282012-05-01122221224Extra-luminal Air Fluid Level on Abdominal X-ray of a Patient with Isolated Jejunal Blow Out; Case ReportKhalid Munir Bhatti0Mohammed Zulfiqar Ali1Afshan Khalid2Umar Mushtaq3Mohammed Idrees Anwar4Sheikh Zayed Medical Complex, Rahim Yar Khan, PakistanSheikh Zayed Medical Complex, Rahim Yar Khan, PakistanSheikh Zayed Medical Complex, Rahim Yar Khan, PakistanSheikh Zayed Medical Complex, Rahim Yar Khan, PakistanSheikh Zayed Medical Complex, Rahim Yar Khan, PakistanPatients with trivial blunt abdominal trauma may present with isolated jejunal blow out (IJBO). A high index of suspicion is required as delayed presentation or delayed diagnosis may increase morbidity. Presentation with frank perforation peritonitis can be diagnosed by abdominal X-rays. We report the case of a patient who presented with features of peritonitis 10 days after being injured by a knee kick trauma. An erect abdominal X-ray showed extraluminal air-fluid levels, suggesting a hollow viscous injury which on exploration was found to be IJBO.http://web.squ.edu.om/squmj/includes/tng/pub/tNG_download.asp?id=90bd856902d9ccc6441729b06588fedbBlunt traumaDelayed diagnosisIntestinal perforationJejunumPeritonitisCase reportPakistan
collection DOAJ
language English
format Article
sources DOAJ
author Khalid Munir Bhatti
Mohammed Zulfiqar Ali
Afshan Khalid
Umar Mushtaq
Mohammed Idrees Anwar
spellingShingle Khalid Munir Bhatti
Mohammed Zulfiqar Ali
Afshan Khalid
Umar Mushtaq
Mohammed Idrees Anwar
Extra-luminal Air Fluid Level on Abdominal X-ray of a Patient with Isolated Jejunal Blow Out; Case Report
Sultan Qaboos University Medical Journal
Blunt trauma
Delayed diagnosis
Intestinal perforation
Jejunum
Peritonitis
Case report
Pakistan
author_facet Khalid Munir Bhatti
Mohammed Zulfiqar Ali
Afshan Khalid
Umar Mushtaq
Mohammed Idrees Anwar
author_sort Khalid Munir Bhatti
title Extra-luminal Air Fluid Level on Abdominal X-ray of a Patient with Isolated Jejunal Blow Out; Case Report
title_short Extra-luminal Air Fluid Level on Abdominal X-ray of a Patient with Isolated Jejunal Blow Out; Case Report
title_full Extra-luminal Air Fluid Level on Abdominal X-ray of a Patient with Isolated Jejunal Blow Out; Case Report
title_fullStr Extra-luminal Air Fluid Level on Abdominal X-ray of a Patient with Isolated Jejunal Blow Out; Case Report
title_full_unstemmed Extra-luminal Air Fluid Level on Abdominal X-ray of a Patient with Isolated Jejunal Blow Out; Case Report
title_sort extra-luminal air fluid level on abdominal x-ray of a patient with isolated jejunal blow out; case report
publisher Sultan Qaboos University
series Sultan Qaboos University Medical Journal
issn 2075-051X
2075-0528
publishDate 2012-05-01
description Patients with trivial blunt abdominal trauma may present with isolated jejunal blow out (IJBO). A high index of suspicion is required as delayed presentation or delayed diagnosis may increase morbidity. Presentation with frank perforation peritonitis can be diagnosed by abdominal X-rays. We report the case of a patient who presented with features of peritonitis 10 days after being injured by a knee kick trauma. An erect abdominal X-ray showed extraluminal air-fluid levels, suggesting a hollow viscous injury which on exploration was found to be IJBO.
topic Blunt trauma
Delayed diagnosis
Intestinal perforation
Jejunum
Peritonitis
Case report
Pakistan
url http://web.squ.edu.om/squmj/includes/tng/pub/tNG_download.asp?id=90bd856902d9ccc6441729b06588fedb
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AT mohammedzulfiqarali extraluminalairfluidlevelonabdominalxrayofapatientwithisolatedjejunalblowoutcasereport
AT afshankhalid extraluminalairfluidlevelonabdominalxrayofapatientwithisolatedjejunalblowoutcasereport
AT umarmushtaq extraluminalairfluidlevelonabdominalxrayofapatientwithisolatedjejunalblowoutcasereport
AT mohammedidreesanwar extraluminalairfluidlevelonabdominalxrayofapatientwithisolatedjejunalblowoutcasereport
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