DOI: https://doi.org/10.36347/sjmcr.2026.v14i05.050

Pages: 1075-1083

Mesenteric trauma is a rare and less common condition. In closed abdominal trauma, mesenteric trauma can lead to several complications, including hemorrhage, intestinal ischemia, and intestinal perforations. The clinical diagnosis is often poor initially and may resemble other conditions caused by blunt abdominal trauma, delaying management and affecting prognosis and length of hospital stay. On clinical examination, one should look for abdominal pain, abdominal rigidity, and the “belt sign.” The gold-standard imaging modality remains abdominal CT angiography in hemodynamically stable patients. In hemodynamically unstable patients, FAST ultrasound is of paramount importance and indicates the need for urgent surgical exploration in the presence of moderate to massive hemoperitoneum. Laboratory tests, including complete blood count [CBC], C-reactive protein [CRP], procalcitonin, and lactate, may be ordered, but their diagnostic value is limited; they can assist in monitoring when non-surgical treatment is considered. Diagnostic scores can aid in establishing the diagnosis, such as the BIPS score [a radiological and laboratory score], the Faget-Millet score, the RAPTOR score, and the Strasbourg score. Treatment is guided by clinical presentation, radiological findings, and laboratory results. Two approaches are possible: either surgical treatment or non-surgical management with rigorous clinical and laboratory monitoring and imaging re-evaluation in the event of worsening laboratory or clinical status. In this case, the patient is a 56-year-old woman who suffered a fall from a height and was admitted to the emergency department for treatment of mesenteric trauma. She underwent surgical , during which an exploration revealed a mesenteric tear with extensive ileal ischemia extending from the distal ileum to 1.4 meters from the distal ileum, presence of another mesenteric tear 1.70 m from the DAI with no signs of intestinal distress, presence of moderate hemoperitoneum, n