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Diagnostic and therapeutic value of laparoscopy for small bowel blunt injuries: A case report
Authors:Addeo Pietro  Calabrese Daniela Paola
Affiliation:aPôle des Pathologies Digestives, Hépatiques et de la Transplantation, Hôpital de Hautepierre, Hôpitaux Universitaires de Strasbourg – Université de Strasbourg, France;bDepartment of Surgery, Louis Mourier Hospital, Assistance Publique-Hopitaux de Paris, University Paris VII, Denis Diderot, Colombes, France
Abstract:

INTRODUCTION

Small bowel injuries after blunt abdominal trauma represent both a diagnostic and a therapeutic challenge. Early diagnosis and prompt treatment are necessary in order to avoid a dangerous diagnostic delay. Laparoscopy can represent a diagnostic and therapeutic tool in patients with uncertain clinical symptoms.

PRESENTATION OF THE CASE

We report the case of a 25-year-old man, haemodynamically stable, admitted for acute abdominal pain a few hours after a physical assault. Giving the persistence of the abdominal pain and the presence of free fluids at the computed tomography examination, an exploratory laparoscopy was performed.

DISCUSSION

At the laparoscopic exploration, an isolated small bowel perforation was found, 60 cm distal from the ligament of Treitz. The injury was repaired by laparoscopic suturing and the patient was discharged home at postoperative day 3 after an uneventful postoperative course.

CONCLUSIONS

Laparoscopy represents a valuable tool for patients with small bowel blunt injuries allowing a timely diagnosis and a prompt treatment.
Keywords:Small bowel blunt trauma   Jejunal perforation   Laparoscopy   Peritonitis   Laparoscopic suturing
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