Delayed diagnosis of isolated jejunal perforation following blunt abdominal trauma

Isolated jejunal perforation due to blunt abdominal trauma is a rare clinical condition and it may be easily unnoticed during the first examination or radiological studies, so that a delay in diagnosis is common. We present a case with isolated jejunal perforation after a blunt abdominal trauma which was not diagnosed at the first examination in the emergency department. The initial radiological studies were also normal and at the observation period small intestinal injury was diagnosed eight hours later with serial physical examinations and control radiological studies. Because diagnosing an isolated small intestinal injury is still a medical challenge, medical observation is a lifesaving measure.