1 Junior Resident-3, Department of General Surgery, Shri Sathya Sai Medical College & Research Institute, Sri Balaji Vidyapeeth (Deemed to be University), Puducherry, India
2 Professor & Head, Department of General Surgery, Shri Sathya Sai Medical College & Research Institute, Sri Balaji Vidyapeeth, Puducherry, India
3 Associate Professor, Department of General Surgery, Shri Sathya Sai Medical College & Research Institute, Sri Balaji Vidyapeeth, Puducherry, India
Multiple intestinal perforations following penetrating abdominal trauma are uncommon and often underdiagnosed during initial evaluation. Delayed recognition can result in peritonitis, sepsis, and increased mortality. Prompt surgical exploration and meticulous intraoperative bowel assessment are essential to prevent missed injuries.
A 23-year-old male presented two hours after sustaining a stab wound to the right side of the abdomen during a street altercation. He was conscious but in significant distress with progressive abdominal pain. Investigations revealed pneumoperitoneum, prompting emergency exploratory laparotomy. Intraoperatively, a transverse colon perforation and two ileal perforations were identified. Primary repair was performed for the colonic and one ileal perforation, while a diverting loop ileostomy was created for the second ileal injury. The postoperative course was uneventful, and ileostomy closure at four weeks revealed healthy bowel.
This case highlights the diagnostic challenges of multiple intestinal perforations in penetrating abdominal trauma and emphasizes the importance of early surgical intervention and systematic intraoperative bowel evaluation.
Keywords: Penetrating abdominal trauma; Intestinal perforation; Ileal injury; Transverse colon injury; Laparotomy; Case report.
How to cite this article: Singh S, Muralidharan G, Thamil Selvam. Multiple Intestinal Perforations Following Penetrating Abdominal Trauma: A Rare Case Report. Int J Drug Deliv Technol. 2026;16(4): 184-186. DOI: 10.25258/ijddt.16.4.20
Source of support: Nil.
Conflict of interest: None