A Case of Successful Resuscitation in a Mentally Disabled Young Patient with Isolated Jejunal Perforation during Emergent Exploratory Laparotomy

ABSTRACT

We present successful resuscitation in a mentally disabled young male who has isolated jejunal perforation without trauma history. Abdominal computed tomography scan showed large amount of free intraperitoneal air. Cardiac arrest occurred after anesthetic induction. Following resuscitation, emergent exploratory laparotomy revealed only a 3-cm perforation of the jejunum, 40 cm from the ligament of Treitz. During operation, repeated cardiac arrest occurred. Fortunately, the operation was successfully completed and patient discharged 15th day after operation without complications.