A 40-year-old male is brought to you at a rural event having been kicked in the abdomen by a horse. He initially felt winded but 2 hours later develop...

Question

A 40-year-old male is brought to you at a rural event having been kicked in the abdomen by a horse. He initially felt winded but 2 hours later develops increasing generalised abdominal pain, rigidity, and rebound tenderness. His abdomen is distended and he has absent bowel sounds. What has most likely occurred?

Accepted Answer

Delayed hollow viscus perforation - likely small bowel rupture with peritonitis

Answer

Mesenteric ischaemia

Answer

Splenic rupture with haemoperitoneum

Answer

Renal colic triggered by the impact

Answer

Simple abdominal wall contusion

uk-dipimc MCQ (SBA): Hollow Viscus Perforation