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Abstract
Introduction:Trauma continues to be one of the leading causes of death in children. Even though among traumas blunt abdominal trauma is frequently seen in children, small intestine injuries due to blunt abdominal trauma are very rare. In case the diagnosis of intestinal perforations is delayed and not treated rapidly, severe morbidity and mortality may develop. Case Report: In this case, a 4-year-old male patient with ileal perforation, who applied to the emergency department with blunt abdominal trauma and did not show any signs of free gas in radiological imaging, was presented. Conclusion: To the best of our knowledge, ileal perforation associated with blunt abdominal trauma is very rare in the literature. The aim of this case report is to emphasize the necessity of considering small intestine injury in the differential diagnosis of acute abdominal syndrome in children applying with blunt abdominal trauma. Keywords Child, blunt abdominal trauma, small intestine injury, ileal perforation Project Number Yok References * 1. Arikanoglu Z, Taskesen F, Gül M, Aliosmanoglu I, Önder A, Kapan M. Full-thickness isolated small intestine injury due to blunt trauma. Eurasian J Emerg Med 2015;14:204-6 * 2. Allen GS, Moore FA, Cox CS, Wilson JT, Cohn JM., Duke JH. Hollow visceral injury and blunt trauma. J Trauma Acute Care Surg 1998;45(1): 69-77. * 3. Munshi IA, DiRocco JD, Khachi G. Isolated jejunal perforation after blunt thorac oabdominal trauma. J Emerg Med 2006;30(4): 393-5. * 4. Sherck J, Shatney C, Sensaki K, Selivanov V. The accuracy of computed tomography in the diagnosis of blunt small-bowel perforation. Am J Surg 1994;168(6):670-5. * 5. Guarino J, Hassett JM, Luchette FA. Small bowel injuries: mechanisms, patterns, and outcome. J Trauma 1995;39(6):1076-80. * 6. Ilgar M, Elmalı M, Nural MS. The role of abdominal computed tomography in determining perforation findings and site in patients with gastrointestinal tract perforation. Ulus Travma Acil Cerrahi Derg 2013;19(1):33-40. * 7. Holland AJA, Cass DT, Glasson MJ, Pitkin J. Small bowel injuries in children. J Paediatr Child Health 2000;36(3):265-9. * 8. Singh JP, Steward MJ, Booth TC, Mukhtar H, Murray D. Evolution of imaging for abdominal perforation. Ann R Coll Surg Engl 2010;92(3):182-8.
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