Abstract
A 35-year-old male, a horse trainer, was brought to the emergency room after being kicked in the abdomen, which resulted in an abdominal wall hematoma and a blow-out rupture of the proximal jejunum, with a mesenteric tear and posterior lumbar disc herniation. The initial evaluation did not raise significant concerns; however, the patient's abdominal pain progressively worsened after the administration of oral contrast in preparation for the computed tomography (CT) scan. The patient did well after abdominal exploration and operative repair of the small bowel injury. Our objective is to shed light on this mechanism of injury that can be underestimated during a patient's initial evaluation.
Highlights
In the western world, the role of the horse has changed from that of a work animal to sports activities
A 35-year-old male, a horse trainer, was brought to the emergency room after being kicked in the abdomen, which resulted in an abdominal wall hematoma and a blow-out rupture of the proximal jejunum, with a mesenteric tear and posterior lumbar disc herniation
The initial evaluation did not raise significant concerns; the patient's abdominal pain progressively worsened after the administration of oral contrast in preparation for the computed tomography (CT) scan
Summary
The role of the horse has changed from that of a work animal to sports activities. Reported cases in the literature of trauma caused by a horse kick to the abdomen are scarce [3,4]. We report a triad of injuries caused by a horse kick to the abdomen. A 35-year-old male horse trainer was brought to our emergency room after being kicked by a horse and complaining of left-sided abdominal pain, mainly at the hoof imprint site. The patient was hemodynamically stable, with a tender left lower abdomen at the site of the hoof mark (Figure 1 ). His pain worsened shortly after drinking oral contrast. How to cite this article Ahmed M, Saeed R, Abdulsalam M, et al (October 01, 2019) Horse Kick to the Abdomen Causing a Triad of Injury: A Case Report. The patient did well and was discharged from the hospital on the third postoperative day
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