Case presentation An 11-year-old Asian child was presented to a trauma center complaining of severe abdominal pain two days after falling from his bike. There were no visible external injuries. Limbs could move freely in all directions with a complete range of motion. Assessment 1. Vital signs Temperature: Afebrile Heart rate: 120 beats/minute (tachycardia) Respiratory rate: 20 breaths/ minute Blood pressure (supine position): 110/70 mmHg 2.
Abdominal evaluation: Moderately elevated temperature, no abdominal distention, with guarding and rigidity. 3. Laboratory investigations: Hemoglobin: 8.9 g/dL Leukocyte: 12,700/mL 4. Radiological investigations The hepatorenal pouch was filled with free fluid during the focused assessment with sonography in trauma (FAST). An extensive contrast-enhanced computed tomography (CECT) of the torso revealed thickening of the proximal jejunal loops…
