“Perforación yeyunal producto de lesión deportiva”

Abstract

Objective: Give characterize for patients who present traumatic perforation of the jejunum, identifying risk factors, diagnostic and therapeutic processes, to propose diagnostic-therapeutic strategies. Development: Jejunal perforation presents different etiologies, the most common, traumatic cause, in this study we present the case of a male patient to 18-year-old, he has abdominal pain of great intensity after blunt trauma while playing soccer that does not yield with analgesics. It is accompanied by qualm and trew up. Physical examination: conscious, afebrile, painful, abdomen tense in the table, absent hydroaerous noises, painful on palpation, dullness on the flanks and iliac pits. Chest X-ray shows pneumoperitoneum, bilateral subphrenic. Conclusions: The jejunal perforation is of surgical management, due to the complications that occur, death or abdominal sepsis. Doesn´t identify risk factors that are related to the traumatic cause, and its diagnostic is considered in clinic and on image exams, which help to improve therapeutic management. Recommendations: Active management with complementary tests in the shortest possible time would achieve a good forecast in the patient.