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Journal of Forensic Medicine and Toxicology
Year : 2024, Volume : 41, Issue : 2
First page : ( 281) Last page : ( 285)
Print ISSN : 0971-1929. Online ISSN : 0974-4568.
Article DOI : 10.48165/jfmt.2024.41.2.49

Importance of early diagnosis in small bowel perforation following blunt abdominal trauma: A case report

Sibi Vijaykumar1,*, Moirangthem Sangita2, Sravan J S3, Arora Arneet4

1Senior Resident, Department of Forensic Medicine and Toxicology, Chettinad Hospital and Research Institute, Chettinad Academy of Research and Education, Chennai-603103, Tamil Nadu

2Senior Resident, Forensic Medicine and Toxicology, AIIMS, Bhopal

3Assistant Professor, Department of Forensic Medicine and Toxicology, People's College of Medical Sciences and Research Centre, Bhopal

4Professor and Head, Department of Forensic Medicine and Toxicology, AIIMS, Bhopal

*Corresponding Author Dr Sibi Vijayakumar, Senior Resident, Department of Forensic Medicine and Toxicology, Chettinad Hospital and Research Institute, Chettinad Academy of Research and Education, Chennai-603103, Tamil Nadu, Email: sibivijay15@gmail.com

Online published on 19 March, 2025.

Abstract

Intestinal perforation resulting from blunt abdominal trauma presents diagnostic challenges and carries significant morbidity and mortality risks if not promptly recognized and managed. We present a case report of a 38-year-old man involved in a two-wheeler accident, who initially showed no signs of severe injury but deteriorated rapidly within 24 hours, leading to a fatal outcome upon arrival at a tertiary care center. Post-mortem examination revealed a jejunal perforation with histopathological findings of underlying transmural inflammation and unexpected submucosal fat deposition. This case underscores the importance of early identification and intervention in small bowel perforations following blunt abdominal trauma, particularly in cases of delayed symptom onset. The complexity of traumatic bowel injuries, including isolated perforations and underlying chronic inflammatory conditions, necessitates a comprehensive approach to diagnosis and management. Further research is warranted to enhance diagnostic accuracy and optimize outcomes in patients with traumatic bowel injuries.

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Keywords

Small Bowel Perforation, Blunt Abdominal Trauma, Forensic Autopsy, Histopathology, Hollow viscous injury.

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