DOI: https://doi.org/10.36347/sjmcr.2025.v13i10.005

Pages: 2199-2201

Background: Abdominal trauma is a frequent cause of pediatric emergency admissions, but traumatic evisceration is exceptionally rare. It is defined as the protrusion of intra-abdominal organs through a defect in the abdominal wall. In children, the elasticity of the abdominal wall usually provides protection, which explains the rarity of this presentation. Case presentation: We report the case of an 11-year-old boy with no significant past medical history who sustained a road traffic accident with violent crushing trauma. On admission, clinical examination revealed a 10 cm abdominal wall laceration extending from the left iliac fossa to the hypogastrium, with evisceration of viable sigmoid colon and several small bowel loops. Multiple superficial abrasions were also noted on the trunk. The patient was hemodynamically stabilized after initial resuscitation. Emergency laparotomy confirmed the absence of intestinal perforation or associated intra-abdominal lesions. The surgical procedure included reduction of the eviscerated bowel, abundant peritoneal lavage, and placement of a drain. Broad-spectrum antibiotics were administered. The postoperative course was uneventful, with bowel function recovery on postoperative day 2 and hospital discharge on day 7. At one-month follow-up, the patient was asymptomatic with satisfactory wound healing. Conclusion: Post-traumatic evisceration in children is an exceptional but severe surgical emergency. Its management requires prompt resuscitation, early laparotomy, and careful abdominal wall repair. Long-term follow-up is necessary to assess both functional and cosmetic outcomes.