AB202. SOH26AB_0126. Delayed jejunal transection following blunt abdominal trauma from a road traffic accident: a case report

Blunt abdominal trauma from road traffic accidents can result in occult small bowel injuries that may not be apparent on initial imaging. Delayed perforation is associated with significant morbidity. Patients with seatbelt-related abdominal wall bruising are at particular risk, and computed tomography (CT) may initially demonstrate only non-specific findings such as bowel wall oedema. Early identification and timely intervention are essential for preventing deterioration. Clinical, radiological, and operative data from the patient’s initial admission, subsequent re-presentation, and definitive management were reviewed. The sequence of diagnostic assessments, imaging interpretation, intraoperative findings, and postoperative complications was analysed to identify factors contributing to delayed recognition of jejunal injury following blunt abdominal trauma.