Perforation of the jejunum-an unusual mechanism

Abstract

Background: Perforation of the jejunum following blunt abdominal trauma can be as a result of various mechanisms. Its diagnosis oftentimes is challenging. Aim: To report a rare case of blunt abdominal trauma with perforation of the jejunum due to a coffin and discuss the diagnosis and management of this condition. Setting: Department of Surgery, University of Benin Teaching Hospital, Benin City, Nigeria. Case Report: A 19-year-old female was an unrestrained passenger in a 14-seater bus conveying several passengers and an unrestrained coffin. The bus was involved in a roll-over vehicle crash during which the patient suffered a severe impact to the abdomen from the coffin with perforation of the jejunum. She had a trauma laparotomy with repair of the jejunum and had an uneventful recovery. Conclusion: This case illustrates the inherent risks involved in transporting caskets and corpses in a passenger vehicle. We recommend that these be conveyed in hearses with the appropriate restraints in place. Health education, legislation and enforcement on this issue are imperative in developing countries. Keywords: Casket, Blunt abdominal trauma, Jejunal perforation PHMJ Vol. 2 (2) 2008: pp. 174-176