A 21-year-old female presented with blunt abdominal trauma following a domestic assault. She was allegedly assaulted by her partner, who, under the influence of alcohol, kicked her multiple times in the abdomen after an argument. The patient was rescued by neighbors and brought to the Emergency Room (ER) in severe abdominal pain. On arrival, she was hemodynamically stable with stable vital signs. Investigations: Focused Assessment with Sonography for Trauma (FAST) in the ER showed no free fluid in the peritoneal cavity.
Contrast-enhanced CT (CECT) abdomen, however, revealed retroperitoneal free gas around the right kidney, highly suggestive of a hollow viscus perforation (retroperitoneal duodenal injury). Operative Findings: Emergency exploratory laparotomy was performed. Intraoperative findings revealed rupture of the duodenum. Primary repair of the duodenal perforation was carried…
