Ramesh Suthar

ABSTRACTAbdominal injury following road traffic accident is less common, compared to the extremities, head and chest. Bowel may get injured following blunt abdominal trauma, but perforation and complete transection is rare. Reports of intestinal perforation during low energy impacts such as bicycle falls, are extremely rare. We report a case of 30-year-old male, who presented with severe abdominal pain, following bicycle road traffic accident. Chest X-Ray was normal, X ray flat plain abdomen showed air under both dome of the diaphragm and abdominal FAST scan revealed intra-peritoneal free fluid with internal echoes. Early exploration and prompt surgical intervention led to the successful outcome in this patientKeywords: Blunt trauma abdomen, isolated jejunal transection, double barrel jejunostomy.