Gastric Perforation: A Case Report of an Unusual Complication of Rib Fracture due to Blunt Abdominal Trauma

Blunt abdominal trauma is far more common than penetrating injuries, but gastric perforation is more frequently associated with penetrating abdominal trauma.Rib fractures due to blunt trauma usually cause solid organ injury.Blunt gastric perforations are rare, accounting for <2% of all blunt abdominal injuries.Among all hollow viscus injuries, gastric perforation is associated with the highest mortality, which increases proportionately to time in operative intervention.Clinical vigilance and early intervention are mandatory for improved prognosis.The authors, herein, present a case of a 36-year male with a history of blunt abdominal trauma due to a fall resulting in a left lower rib fracture complicated by posterior gastric perforation, which required a high index of suspicion for diagnosis due to concurrent injuries and its timely diagnosis and the management led to uneventful recovery of the patient.

Publication Details

Journal
Journal of College of Physicians And Surgeons Pakistan
Published
2025-01-01
DOI
https://doi.org/10.29271/jcpspcr.2025.275
Primary Topic
Trauma Management and Diagnosis
Type
article
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article

Gastric Perforation: A Case Report of an Unusual Complication of Rib Fracture due to Blunt Abdominal Trauma

Journal of College of Physicians And Surgeons Pakistan
Trauma Management and Diagnosis
article

Gastric Perforation: A Case Report of an Unusual Complication of Rib Fracture due to Blunt Abdominal Trauma

article en

Abstract

Blunt abdominal trauma is far more common than penetrating injuries, but gastric perforation is more frequently associated with penetrating abdominal trauma.Rib fractures due to blunt trauma usually cause solid organ injury.Blunt gastric perforations are rare, accounting for <2% of all blunt abdominal injuries.Among all hollow viscus injuries, gastric perforation is associated with the highest mortality, which increases proportionately to time in operative intervention.Clinical vigilance and early intervention are mandatory for improved prognosis.The authors, herein, present a case of a 36-year male with a history of blunt abdominal trauma due to a fall resulting in a left lower rib fracture complicated by posterior gastric perforation, which required a high index of suspicion for diagnosis due to concurrent injuries and its timely diagnosis and the management led to uneventful recovery of the patient.

Journal of College of Physicians And Surgeons PakistanVol. 35(01)
Good health and well-being
Openalex Percentile: Top 67%
Trauma Management and Diagnosis
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