Incidental small bowel perforation in an isolated head injury

Authors

  • Priyanka Bharat Morar Department of General Surgery, University of Witwatersrand, Johannesburg, South Africa
  • Estelle Laney Department of Surgery, University of the Witwatersrand, Johannesburg, South Africa
  • Maeyane S. Moeng Department of Surgery, University of the Witwatersrand, Johannesburg, South Africa

DOI:

https://doi.org/10.18203/2349-2902.isj20252689

Keywords:

Spontaneous Gastrointestinal perforation, Abdominal compartment syndrome, Histopathology

Abstract

Spontaneous gastrointestinal perforation is a rare occurrence, most associated with an infectious cause precipitated by an underlying co-morbidity. This case report discusses a 39-year-old trauma patient that sustained an isolated gunshot to his face. The patient subsequently developed spontaneous bowel perforations of the duodenum and ileum while intubated in ICU. Despite extensive laboratory and histopathological testing, no definitive etiology was identified. This case report highlights the importance of suspecting and recognizing bowel perforation and abdominal compartment syndrome promptly in an intubated ICU patient. The report emphasizes the necessity of early surgical source control and the role histopathology plays in diagnosis of underlying pathologies. This case contributes to the limited literature surrounding spontaneous gastrointestinal perforation where the etiology is inconspicuous.

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References

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Published

2025-08-26

How to Cite

Morar, P. B., Laney, E., & Moeng, M. S. (2025). Incidental small bowel perforation in an isolated head injury. International Surgery Journal, 12(9), 1527–1529. https://doi.org/10.18203/2349-2902.isj20252689

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Section

Case Reports