Traumatic small bowel perforation
Struck by golf club.
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Intraperitoneal free gas, with free fluid, is suggestive of a traumatic bowel perforation.
A dilated loop of jejunum is demonstrated within the left side of the abdomen, subjacent to the subcutaneous bruising, with associated mesenteric hyperemia and stranding; whilst these features suggest that this is the site of bowel injury, no extravasation of orally administered contrast is seen, despite opacification of this loop of bowel.
2 case question available
Bowel perforation was confirmed at surgery. Signs of traumatic bowel perforation can be non-specific and, in the absence of free gas or gross mural disruption, subtle on CT.