A Case of Traumatic Gastric Transection without other Injury

Hideki Moriyama, Kouzen Yamamura*, Hirotaka Kitamura, Yuuji Nishida, Akira Takehara, Kazushige Shibahara, Masatoshi Sasaki and Kouji Konishi

Department of Surgery, Toyama Red Cross Hospital
Kanazawa Arimatsu Hospital*

A 18-year-old woman not wearing a seatbelt and injured in a traffic accident was found to have a board-like abdomen and sereve tenderness. Abdominal computed tomography showed free air in the abdominal cavity, necessitating emergency laparotomy under a diagnosis of panperitonitis due to gastrointestinal perforation. The stomach had been completely transected at the antrum, necessitating distal gastrectomy and Billroth II reconstruction with a Braun anastomosis. She was discharged on postoperative day 15. Traumatic gastric transection without other injury has not, to our knowledge, been previously reported.

Key words
gastric transection, trauma, gastrectomy

Reprint requests
Hideki Moriyama Department of General & Cardiothoracic Surgery, Kanazawa Univercity Hospital
13-1 Takara-machi, Kanazawa, 920-8641 JAPAN

Accepted
October 22, 2008

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