Evisceration of Bowel: Sequelae of High Velocity Injury

Abstract

Bowel evisceration is an uncommon finding after blunt abdominal trauma, therefore it warrants prompt action and urgent intervention in form of emergency laparotomy. We report a young male who sustained multiple abdominal injuries due to a high impact mechanism resulting in bowel evisceration and underwent emergency laparotomy. Case Report: In a high speed motorcycle accident a 18 year old male sustained a direct blunt injury to his abdomen which resulted in a perforation of the stomach, transection of colon, multiple mesenteric injuries and B/L pneumothorax. The abdominal wall split transversely extruding intact bowel. After resuscitation according to ATLS guidelines, patient was taken for emergency laparotomy. After 20 days in Intensive Care Unit and surgical ward, patient was discharged in a satisfactory condition. Conclusion: High velocity blunt trauma to abdomen results in high mortality and morbidity. Blunt trauma resulting in evisceration requires prompt intervention, and the approach is tailored according to the magnitude of injury.