ArticleCureus2025
Clinical Vigilance Overcomes Imaging Limitations in Jejunal Perforation: A Case Report.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Abstract
Jejunal perforation following blunt abdominal trauma is a rare but critical condition that poses significant diagnostic challenges due to its subtle clinical and radiographic presentations. This case report describes a 29-year-old male who sustained blunt abdominal trauma in a motorcycle accident. Despite initial imaging, including an erect chest X-ray showing no pneumoperitoneum and CT with intravenous contrast revealing only splenic injury, the diagnosis of jejunal perforation was delayed until clinical deterioration prompted exploratory laparotomy. The findings highlight the limitations of plain radiographs and the absence of oral contrast in CT protocols for detecting hollow viscus injuries. This case underscores the importance of maintaining a high index of suspicion, employing advanced imaging techniques, and ensuring prompt surgical intervention when clinical signs indicate progression. Enhanced diagnostic strategies, including the use of both oral and IV contrast in CT imaging, are crucial to improving outcomes in similar cases.
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