Case report of a successful management of traumatic whole bowel evisceration complicated with sepsis and ischemic changes following three-day delayed hospital presentation
Tauma and Emergency Unit, NKST Rehabilitation Hospital, Mkar, Gboko, Benue State, Nigeria.
Case Study
World Journal of Advanced Research and Reviews, 2020, 06(03), 309–312
Publication history:
Received on 19 May 2020; revised on 25 Juney 2020; accepted on 27 June 2020
Abstract:
Traumatic whole bowel evisceration is a rare but severe injury typically resulting from high-energy blunt or penetrating abdominal trauma. Delayed presentation increases the risk of contamination, ischemia, and sepsis, complicating management and worsening prognosis, especially in resource-limited settings. We present a 51-year-old female rural farmer who sustained lacerative abdominal trauma with complete bowel evisceration following a road traffic accident. Initially unable to access timely care due to financial constraint and geographical location, the patient presented three days later with fever, hypotension, tachycardia, anemia, and exteriorized large and small bowel that was visibly contaminated with sections showing ischemic changes. A multidisciplinary care involving hemodynamic stabilization, coordinated surgical intervention, infection control, and supportive care was crucial in the successful management of the case.
Keywords:
Traumatic bowel evisceration; Delayed presentation; Abdominal trauma; Sepsis; bowel viability; Surgical debridement; Abdominal wall repair
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Copyright © 2020 Author(s) retain the copyright of this article. This article is published under the terms of the Creative Commons Attribution Liscense 4.0