Journal of Emergency Practice and Trauma

Late presentation of isolated caecal perforation following blunt abdominal trauma: The utility of point-of-care ultrasound

Document Type : Letter to Editor

Authors

Balaji RajaRam 1
Sayan Nath 2
Supreet Kaur 3
Dinesh Bagaria 4
Rajeshwari Subramaniam 5
Vimi Rewari 6

1 Department of Anaesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences, New Delhli, India

2 Department of Anaesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences,New Dehli, India

3 Division of Trauma Surgery and Critical Care,JPN Apex Trauma Center, All India Institute of Medical Sciences,New Dehli ,India

4 Division of Trauma Surgery and Critical Care,JPN Apex Trauma Center, All India Institute of Medical Sciences, New Dehli ,India

5 Department of Anaesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences, New Dehli, India

6 Department of Anaesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences, New Dehhi , India

https://doi.org/10.34172/jept.2022.20
Abstract
Colonic injuries after blunt trauma abdomen are a rare entity which may sometimes have a delayed presentation
. In the intensive care unit (ICU), various interventions like sedation, analgesia and paralysis may confound
clinical examination findings pertaining to abdominal pathology. Computed tomography (CT) provides an
excellent diagnostic modality in blunt trauma abdomen but requirement of high ventilatory support and/or
vasopressors may preclude safe transfer of patients from ICU to radiology suites. Point of care ultrasound (POCUS)
provides an excellent adjunct in diagnosis of hollow viscus perforation and is considered as a reliable alternative to
plain radiograph for the diagnosis of pneumoperitoneum

Keywords

Caecal perforation
pneumoperitoneum
Point-of-care ultrasound
Subjects
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Journal of Emergency Practice and Trauma
Volume 9, Issue 1
January 2023
Pages 2-3

  • Receive Date 26 December 2022

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