The Silent Perforation: CT-Guided Diagnosis of a Tiny Yet Life-Threatening Gastric Injury

Penetratstab wound. He was hemodynamically stable on admission. Contrast-enhanced CT demonstrated the knife penetrating the antro-pyloric region of the stomach, associated with a small hem pneumoperitoneum and a peri-splenic sentinel hematoma. Emergency laparotomy confirmed a punctiform perforation of the lesser curvature, whicing abdominal trauma is a common surgical emergency. Severity depends on the injured organs and the delay to definitive management. We report the case of a 45-year-old chronic smoker presenting with an epigastric h was treated with primary suture reinforced by an omental patch. Postoperative recovery was uneventful. This case highlights the importance of early CT evaluation and prompt operative management to minimize morbidity and mortality in penetrating abdominal trauma.