Intestinal Injury after Blunt Abdominal Trauma

In car accidents, there can be many cases of blunt abdominal trauma. One study looked at an isolated jejunal tear in a 24 year old male trucker who exhibited abdominal pain after sustaining blunt abdominal trauma after hitting the steering wheel in an accident. The treating abdphysician missed the isolated jejunal tear and a nearby contusion and secondary tear so conservative care was recommended. He gradually deteriorated and died from his injury. The autopsy showed the jejunal tear in the small bowel with secondary peritonitis. An exploratory laparotomy and special x-rays would have uncovered the problem and he would likely have survived his injuries.

Another study looked at the pattern of small bowel mesenteric injuries caused by contact with the steering wheel during a motor vehicle. They recognized that small gut mesenteric injuries were rare after blunt abdominal trauma from steering wheels. The researchers did a 10 year retrospective study on these types of injury. They found that all such injuries occurred in males with 13 jejunal mesenteric injuries and four ileal mesenteric injuries.

They concluded by acknowledging that these are rare injuries and that tears in the tissue could be longitudinal or transverse. Suture repair is necessary and these patients need to get to a tertiary care facility because a delay in treatment can increase morbidity and mortality. While rare, these types of injuries should be considered when the individual sustains a blunt trauma with a steering wheel in a motor vehicle accident.

In a case study, a researcher looked at a report of a patient who sustained a bowel infarction from abdominal blunt trauma in a car accident. The patient had a bowel resection surgery and survived the injury. This researcher also noted that there needed to be a prompt diagnosis of the problem so the problem can be treated before the patient becomes septic and dies. They recommend a diagnostic peritoneal lavage as a good screening tool for these types of injuries as well as an exploratory laparotomy.

I’m Ed Smith, a Sacramento Personal Injury Attorney with the primary accident information site on the web, www.AutoAccident.com.

If you or someone you love has been in a trucking or automobile accident, call me now at 916-921-6400. If you are outside the Sacramento area, you can call at 800-404-5400 for free, friendly advice.

You can find out more about our office by looking at either Yelp or on Avvo, the attorney rating site.

Updated:

Client Reviews

  • Me and my wife; had a car accident. We were amazed how easy, professional, friendly attorney Ed Smith is along with his staff. Everybody is amazing. Thank you so much, we are very impressed!
    Sincerely,
    ★★★★★
  • Ed Smith and his office team took on a difficult personal injury case on my behalf and for the passenger in my car. Ed is a top- notch attorney. His staff couldn't have been more helpful and kind. No need to look elsewhere. I give Ed Smith my highest recommendation.
    ★★★★★
  • Ed and Robert have been taking great care of my husband and I for the past 5+ years. They are always there when you have a problem and a quick resolution! Even when the issues have nothing to do with them. They are willing to help ease the pain off your shoulders. They are as good as it gets! Thank you again for everything.
    ★★★★★
  • Very professional. Great team, staff and service all around. Mr Smith was very honest, straight forward with his advice. He gives the word "attorney" an honest reputation. I will seek his council anytime, and would recommend him at the drop of a dime.
    ★★★★★
  • I would highly recommend Ed Smith to any friends or family in need of a personal injury attorney. Ed, and his staff, are very caring on top of being very experienced in this field. The staff always keeps you informed of the status of your case and they are always easy to reach by phone.
    ★★★★★
  • Edward Smith law offices provide competent, thorough, and personable help for victims of personal injury. When you first meet the staff you know you contacted the right office. This law office treats clients like people. I recommend this office to anyone seeking representation regarding personal injury.
    ★★★★★