# Complex Traumatic Jejunal Perforation With Mesenteric Tear and Intussusception: A Case Report

## TL;DR

A 52-year-old man suffered complex abdominal injuries from a collision, requiring emergency surgery to repair a perforated intestine and related trauma.

## Contribution

This case report presents a rare combination of jejunal perforation, mesenteric tear, and intussusception following blunt trauma.

## Key findings

- Blunt trauma caused jejunal perforation, mesenteric tear, and intussusception.
- Emergency surgery with bowel resection was required to treat the injuries.
- Histopathology confirmed traumatic perforation with acute inflammation.

## Abstract

Blunt abdominal trauma can result in a spectrum of injuries, ranging from superficial contusions to severe hollow viscus perforations. We present the case of a 52-year-old male involved in a bicycle-truck collision, leading to complex intra-abdominal injuries. The patient presented with acute abdominal pain and signs of peritonitis, prompting urgent diagnostic workup and surgical intervention. Imaging studies revealed pneumoperitoneum, free fluid, and multiple rib fractures indicative of significant trauma. Exploratory laparotomy unveiled a perforated jejunal loop with an associated mesenteric tear and intussusception, necessitating segmental bowel resection and repair. Histopathological analysis confirmed acute hemorrhagic inflammation consistent with traumatic perforation. This case highlights the challenges and complexities associated with blunt abdominal trauma, emphasizing the importance of prompt recognition, multidisciplinary management, and surgical intervention in optimizing patient outcomes.