An Unusual Presentation of a Small Bowel Injury in an Adult Following a Fall From Height.

Abstract

Blunt trauma to the abdomen (BTA) poses a challenge to surgeons in diagnosing the exact intra-abdominal injuries, including hollow viscus injuries. This case report discusses a 40-year-old male patient, a case of BTA following a fall from a height, who did not present any features of peritonitis. Upon evaluation, the patient was found to have a small bowel obstruction in the distal jejunum. The patient was taken for exploratory laparotomy, and the inflammatory mass was removed. A side-to-side distal jejunal anastomosis was performed. This case report teaches us that not all small bowel injuries present as perforation peritonitis; they can also manifest as intestinal obstruction. Delays in diagnosis and treatment can lead to increased morbidity and complications.