A CASE OF PENETRATING ABDOMINAL TRAUMA WITH GASTRIC EVISCERATION

A 26 year male was brought to emergency room by 108 people with no specific reliable history. On examination, stomach eviscerated in epigastrium with patient under alcohol intoxication. There was a laceration over his scalp, GCS 14 (E 3 V 5 M 6). PR- 112min. BP- 100-60mmHg. Abdomen-Stomach eviscerated with bluish hue, Rest of abdomen-flat, tenderness not elicitable. No guardingrigidity. BS heard normally . No other extremity injuries. Patient was resuscitated initially with iv fluids and coagulation profile assessed and blood taken for cross matching and shifted to Operating room for exploratory laparotomy. Findings were-Stab injury in epigastrium causing evisceration and perforation in distal part of body of stomach in anterior and posterior wall. Hemoperitoneum about 50 ml. No other bowel or solid organ injury. Procedure done- Omental patch closure with feeding jejunostomy. Post Operative period was uneventful and discharged on POD 7.