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A large gastric rupture due to blunt trauma: a case report and a review of the Japanese literature.
Ueda, Shiro; Okamoto, Noritomo; Seki, Tadahiko; Matuyama, Takeshi.
Afiliación
  • Ueda S; Department of Emergency and Critical Care Medicine, Nara Prefecture General Medical Center, Nara 630-8581, Japan.
  • Okamoto N; Department of Emergency and Critical Care Medicine, Nara Prefecture General Medical Center, Nara 630-8581, Japan.
  • Seki T; Department of Emergency and Critical Care Medicine, Nara Prefecture General Medical Center, Nara 630-8581, Japan.
  • Matuyama T; Department of Emergency and Critical Care Medicine, Nara Prefecture General Medical Center, Nara 630-8581, Japan.
J Surg Case Rep ; 2021(1): rjaa521, 2021 Jan.
Article en En | MEDLINE | ID: mdl-33569160
Gastric rupture due to blunt trauma is rare, occurring in only 0.07-1.2% of all abdominal blunt traumas. We reported a case with a 10-cm-long hole and review 25 cases in Japan. A 22-year-old man was involved in a traffic accident, 2 h after eating a lot of food. He had suffered muscular defense in the abdomen. An abdominal computed tomography (CT) scan revealed free air, disruption of the gastric wall and a lot of food residue. The laparotomy showed a burst of 10 cm that ran parallel to the long axis from the cardia to the body. A simple closure was primarily performed and drains were placed in the abdominal cavity. The patient was discharged on the 32nd day. Most cases of gastric rupture are diagnosed intraoperatively, but careful evaluation of CT scans and patient interviews are needed to make an accurate preoperative diagnosis.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Surg Case Rep Año: 2021 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Surg Case Rep Año: 2021 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Reino Unido