Rare Case of Isolated Intestinal Perforation in a Case of Penetrating Posterior Stab Wound to Gluteal Region: A Case Report

Over the past few years, the management of patients with penetrating abdominal has changed. Although the damage on a penetrating object/projectile is almost always evident. Occult injuries can be missed, resulting in delayed complications that can add to the morbidity. DPL (diagnostic peritoneal lavage) and FAST (focused assessment of ultrasound in trauma) can be performed to assess a stable patient with a penetrating wound, but both these modalities alone have a high rate of false negatives, unless combined with a triple phase CECT abdomen & pelvis. Here we report a case of penetrating trauma to abdomen via entry from lower posterior abdominal wall. This case is a reminder that any penetrating trauma close to abdomen with signs of peritonitis warrants high index of suspicion and the need for exploratory laparotomy can?t be stressed enough in such cases, even though the chances of small/large bowel injury seem very low.