Article Text

PDF
Melaena as the presenting symptom of gastric mucosal injury due to blunt abdominal trauma
  1. K Saeb-Parsy,
  2. A Omer,
  3. N R Hall
  1. Department of Surgery, Addenbrooke’s Hospital, Cambridge, UK
  1. Correspondence to:
 K Saeb-Parsy
 Fitzwilliam College, Cambridge CB3 0DG, UK; kourosh{at}saeb-parsy.co.uk

Abstract

Blunt abdominal trauma is a common cause of admission to the typical trauma centre. Hollow viscus injury from blunt trauma, however, is unusual and rarely involves the stomach. A 15 year old boy sustained a bicycle handle bar injury to the abdomen and presented to the casualty department four days later with melaena. A computed tomography (CT) scan of the abdomen showed normal findings but endoscopy revealed two “kissing” areas of mucosal ulceration on the anterior and posterior wall of the gastric antrum. The patient received a blood transfusion for anaemia but was otherwise treated conservatively and made a full recovery. The authors believe this to be the first reported case of melaena as the primary presenting symptom of gastric ulceration secondary to blunt abdominal trauma. Diagnosis of hollow viscus injuries due to blunt abdominal trauma requires a high index of suspicion and thorough investigation, particularly if the presentation is delayed.

Statistics from Altmetric.com

Footnotes

  • Competing interests: none declared

  • Informed consent was obtained from the patient and his parent for publication of this case report.

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.