Melaena as the presenting symptom of gastric mucosal injury due to blunt abdominal trauma.

Emergency Medicine Journal : EMJ
K Saeb-ParsyN R Hall

Abstract

Blunt abdominal trauma is a common cause of admission to the typical trauma centre. Hollow viscus injury from blunt trauma, however, is unusual and rarely involves the stomach. A 15 year old boy sustained a bicycle handle bar injury to the abdomen and presented to the casualty department four days later with melaena. A computed tomography (CT) scan of the abdomen showed normal findings but endoscopy revealed two "kissing" areas of mucosal ulceration on the anterior and posterior wall of the gastric antrum. The patient received a blood transfusion for anaemia but was otherwise treated conservatively and made a full recovery. The authors believe this to be the first reported case of melaena as the primary presenting symptom of gastric ulceration secondary to blunt abdominal trauma. Diagnosis of hollow viscus injuries due to blunt abdominal trauma requires a high index of suspicion and thorough investigation, particularly if the presentation is delayed.

References

Nov 26, 1999·The European Journal of Surgery = Acta Chirurgica·E PikoulisS Mantonakis
Jan 5, 2002·Injury·V BruscaginJ R Ribas
Feb 13, 2003·The Journal of Trauma·Dorraine D WattsUNKNOWN EAST Multi-Institutional Hollow Viscus Injury Research Group
Mar 10, 2004·American Journal of Surgery·Hiroki ShinkawaTsuyoshi Kikuchi
May 6, 2004·Injury·Eva Esther Tejerina AlvarezJenaro Díaz-Regañón

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Citations

Nov 23, 2020·Clinical Imaging·Sankarsh JettyAbhishek Chaturvedi

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