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Patients with trivial blunt abdominal trauma may present with isolated jejunal blow out (IJBO). A high index of suspicion is required as delayed presentation or delayed diagnosis may increase morbidity. Presentation with frank perforation peritonitis can be diagnosed by abdominal X-rays. We report the case of a patient who presented with features of peritonitis 10 days after being injured by a knee kick trauma. An erect abdominal X-ray showed extraluminal air-fluid levels, suggesting a hollow viscous injury which on exploration was found to be IJBO. 


Blunt trauma Delayed diagnosis Intestinal perforation Jejunum Peritonitis Case report Pakistan.

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Bhatti, K. M., Zulfiqar Ali, M., Khalid, A., Mushtaq, U., & Anwar, M. I. (2012). Extra-luminal Air Fluid Level on Abdominal X-ray of a Patient with Isolated Jejunal Blow Out : Case report. Sultan Qaboos University Medical Journal, 12(2), 221–224. Retrieved from

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