Abstract
A 70-year-old woman, who received a hard blow to her right hypogastrium 2 weeks previously, was admitted to another hospital due to severe abdominal pain with the diagnosis of an intraabdominal abscess due to acute appendicitis or diverticulitis based on the abdominal contrast enhanced CT findings. At that time, the previous doctor was unaware of the history of the trauma. Medical treatment for 2 weeks was ineffective. A repeated abdominal contrast enhanced CT showed growth of the abscess together with free air, so she was transferred to our hospital as a case for emergency surgery. Intraabdominal laparoscopy showed turbid ascites and an intestinal perforation. Following a laparotomy, perforations were noted in the 3 sites, resection of 60 cm of the perforated and functional end to end ileum-ileum anastomosis were performed. From the patient's history, our diagnosis was traumatic delayed intestinal perforation and this was confirmed pathologically by the presence of metachronous perforations. This was a rare case of traumatic delayed intestinal perforation, which was complicated by metachronous perforation of the oral side of the intestine.
