2026-04-14T03:19:42Zhttps://recercat.cat/oai/request

oai:recercat.cat:11351/124702025-10-24T10:28:58Zcom_2072_378070com_2072_378040col_2072_378092

00925njm 22002777a 4500 dc Martínez López, María author Martinez-Lopez, Pilar author VERDAGUER TREMOLOSA, MIREIA author Gonçalves, Rodrigues author LOPEZ-CANO, MANUEL author 2025-01-23T08:20:02Z 2025-01-23T08:20:02Z 2024-11-26 Abdominal trauma; Abdominal wall infection; Retromuscular abscess Traumatisme abdominal; Infecció de la paret abdominal; Abscés retromuscular Traumatismo abdominal; Infección de la pared abdominal; Absceso retromuscular Aim: To discuss extended retrorectal abscess secondary to blunt abdominal trauma as a cause of abdominal wall (AW) infection and impairment. Methods: According to the CARE checklist, we describe a rare case of blunt abdominal trauma with late diagnosis of jejunal perforation with an abscess that extensively dissected the retromuscular space. Results: A 65 years-old female patient experienced multiple traumas after a traffic collision. Ten days after admission, the patient presented with swelling in the right abdomen. CT scan showed localised pneumoperitoneum and extensive collection affecting the right retrorectal space, reaching the ribs and preperitoneal space. Urgent laparotomy was performed and jejunal perforation with biliary peritonitis and extraperitoneal extension with dissection of the right retrorectal space were found. Intestinal resection with anastomosis was then performed. Exhaustive lavage of the cavity and retromuscular space with debridement of the necrotic posterior rectus lamina was required. Retrorectal drainage was placed. Primary closure of the aponeurosis was achieved using a small-bites technique with a slowly absorbable monofilament suture. Due to the weakness of the abdominal wall, an absorbable biosynthetic mesh impregnated with gentamicin was placed onlay. Negative pressure therapy was applied to the closed wound. Patient received antibiotics and CTs showed favourable evolution. No infectious complications or incisional hernia were reported after 12 months of follow-up. Conclusion: No cases of blunt trauma causing extensive AW infection have been reported in the literature. Whilst rare, this should be considered in traumatic patients. Our experience shows that they can be managed with surgical drainage and absorbable meshes can be considered in cases of fascial loss. http://hdl.handle.net/11351/12470 Paret abdominal - Cirurgia Paret abdominal - Infeccions Intestins - Malalties - Cirurgia Paret abdominal - Ferides i lesions DISEASES::Bacterial Infections and Mycoses::Infection::Suppuration::Abscess::Abdominal Abscess DISEASES::Wounds and Injuries::Abdominal Injuries DISEASES::Digestive System Diseases::Gastrointestinal Diseases::Intestinal Diseases::Intestinal Perforation Other subheadings::Other subheadings::Other subheadings::/surgery ENFERMEDADES::infecciones bacterianas y micosis::infección::supuración::absceso::absceso abdominal ENFERMEDADES::heridas y lesiones::traumatismos abdominales ENFERMEDADES::enfermedades del sistema digestivo::enfermedades gastrointestinales::enfermedades intestinales::perforación intestinal Otros calificadores::Otros calificadores::Otros calificadores::/cirugía Case Report: Abdominal Wall Abscess as First Clinical Sign of Jejunal Perforation After Blunt Abdominal Trauma