Blunt abdominal trauma with pseudomyxoma peritonei

ABSTRACT

Trauma is a common cause of morbidity and mortality. Timely surgical intervention in a hemodynamically unstable patient can save life. This case reports an adult of 27 year age who sustained blunt abdominal injury. During evaluation and simultaneous management fast deteriorating circulatory status prompted exploratory laparotomy. A tributary of middle colic vein was the reason for blood loss which was ligated. Further inspection of the bowel revealed complete transection of the jejunum which was repaired. An interesting finding was an incidentaloma; a hard, fixed mass arising from the appendix region which was subsequently diagnosed as pseudomyxoma peritonei and right hemicolectomy was done at another elective surgery. The case highlights thorough inspection of abdominal cavity in all cases as unusual / rare pathologies may be discovered incidentally.