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Case report
Blunt gastric rupture: a plural clinical presentation and literature review
  1. Bruno Maltese Zuffo1,
  2. Pedro Souza Lucarelli-Antunes2,
  3. Luca Giovanni Antonio Pivetta3 and
  4. José Cesar Assef3
  1. 1Surgery Department, Irmandade da Santa Casa de Misericórdia de São Paulo, Sao Paulo, Brazil
  2. 2Faculdade de Ciências Médicas da Santa Casa de São Paulo, Sao Paulo, Brazil
  3. 3Department of Emergency Service, Irmandade da Santa Casa de Misericórdia de São Paulo, Sao Paulo, Brazil
  1. Correspondence to Bruno Maltese Zuffo; brumalteze{at}hotmail.com

Abstract

Blunt trauma is still the leading mechanism of trauma found in patients admitted to trauma centres worldwide. In these patients, the gastric injury is a very rare lesion, occurring in less than 2% of all blunt traumas. Besides the low incidence, gastric rupture mortality is high, which makes the diagnosis an essential step. Thus, this study aims to report two blunt gastric injuries, with different clinical features, prompting the discussion about the main features of clinical suspicion and diagnosis, besides the main therapeutic approaches. Therefore, this study can alert the medical community to the quick diagnosis and assertive therapy, saving patients of unwelcome endpoints.

  • gastroenterology
  • gastrointestinal surgery
  • general surgery
  • trauma

https://doi.org/10.1136/bcr-2020-239942

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    Footnotes

    • Contributors BM-Z is the main author responsible for planning and conducted the patient care, data acquisition, analysis and interpretation. PSL-A is the second author, responsible for planning, reporting and manuscript conception and design, as well as acquisition of data. LGAP was responsible for data acquisition, analysis and interpretation, as well as supervision in manuscript conception. JCA is the medical coordinator in chief, responsible for supervision in planning, conducting the patient care, reporting, manuscript conception and design, data acquisition, analysis and interpretation.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.