Stomach Transection due to Blunt Abdominal Trauma: A Case Report

Toshiyuki Nakamura, Ryosuke Misawa, Taichi Machida, Shinji Nakata, Harutsugu Sodeyama and Masao Wakabayashi

Department of Surgery, Nagano Red Cross Hospital

A 54-year-old man suffering upper abdomen trauma after being hit by lumber was found after admission to evidence abdominal muscular defense and tenderness. Abdominal computed tomography showed fluid collection around the stomach and discontinuity of the antrum, indicating gastric rupture. Laparotomy showed that the stomach had been completely transected at the antrum. The duodenum was ruptured at the posterior wall of the descending portion. We conducted distal gastrectomy and reconstruction by the Billroth II procedure. The laceration of the duodenal wall was closed directly. We assume that shearing stress between the lumber and vertebra caused the complete transection of antrum.

Key words
transection of stomach, abdominal blunt trauma, gastric rupture

Reprint requests
Toshiyuki Nakamura Department of Surgery, Matsumoto National Hospital 1209 Yoshikawamurai, Matsumoto, 399-8701 JAPAN

Accepted
December 18, 2002

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