Gastric perforation in blunt abdominal trauma. Report of two cases and review of literature

Main Article Content

Ciro De Martino
Marcello Della Corte
Pasquale Smaldone
Anna Pollio
Mariano Fortunato Armellino

Abstract

Gastric perforations as a result of blunt abdominal traumas are rare, with a reported incidence of less than 2%. Usually associated with other solid visceral injuries, isolated gastric ruptures following a blunt abdominal injury are extremely uncommon. The severity of injury, timing of presentation, time elapsed since the last meal, as well as the presence of concomitant injuries are important prognostic factors. Contrast-enhanced CT scan is the gold-standard diagnostic tool in haemodinamically stable patients and allows to detect or raise suspicion of injuries to hollow viscera in about 87% of cases. The authors report two cases of patients suffering from gastric injury following a blunt abdominal trauma. The first one with a double gastric laceration treated with suture repair. The second one with a wide laceration and tissue loss along the greater gastric curvature requiring a wedge resection. Both patients had an uneventful recovery.


Authors present a brief review of the literature; a search on PubMed using the key words “blunt abdominal trauma” and “gastric injury” was performed, including all studies published in the last 20 years. Finally, the main data extracted from four reviews were examinated.


 

 


 

Article Details

How to Cite
De Martino, Ciro, et al. “Gastric Perforation in Blunt Abdominal Trauma. Report of Two Cases and Review of Literature”. Annali Italiani Di Chirurgia, vol. 10, no. January, Jan. 2021, pp. 1-5, https://annaliitalianidichirurgia.it/index.php/aic/article/view/2142.
Section
Case Report
Author Biographies

Ciro De Martino, Emergency Surgery Unit, Critical Area Department, Azienda Ospedaliera Universitaria “S. Giovanni di Dio e Ruggi d’Aragona”, Salerno, Italy

 

 

 

Marcello Della Corte, Emergency Surgery Unit, Critical Area Department, Azienda Ospedaliera Universitaria “S. Giovanni di Dio e Ruggi d’Aragona”, Salerno, Italy

 

 

 

Pasquale Smaldone, Emergency Surgery Unit, Critical Area Department, Azienda Ospedaliera Universitaria “S. Giovanni di Dio e Ruggi d’Aragona”, Salerno, Italy

 

 

 

Anna Pollio, Emergency Surgery Unit, Critical Area Department, Azienda Ospedaliera Universitaria “S. Giovanni di Dio e Ruggi d’Aragona”, Salerno, Italy

 

 

     

Mariano Fortunato Armellino, Emergency Surgery Unit, Critical Area Department, Azienda Ospedaliera Universitaria “S. Giovanni di Dio e Ruggi d’Aragona”, Salerno, Italy