{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,19]],"date-time":"2025-09-19T09:20:43Z","timestamp":1758273643807,"version":"3.44.0"},"reference-count":15,"publisher":"BMJ","issue":"6","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,6,8]]},"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:p>Blunt trauma is still the leading mechanism of trauma found in patients admitted to trauma centres worldwide. In these patients, the gastric injury is a very rare lesion, occurring in less than 2% of all blunt traumas. Besides the low incidence, gastric rupture mortality is high, which makes the diagnosis an essential step. Thus, this study aims to report two blunt gastric injuries, with different clinical features, prompting the discussion about the main features of clinical suspicion and diagnosis, besides the main therapeutic approaches. Therefore, this study can alert the medical community to the quick diagnosis and assertive therapy, saving patients of unwelcome endpoints.<\/jats:p>","DOI":"10.1136\/bcr-2020-239942","type":"journal-article","created":{"date-parts":[[2021,6,24]],"date-time":"2021-06-24T12:20:50Z","timestamp":1624537250000},"page":"e239942","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Blunt gastric rupture: a plural clinical presentation and literature review"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3723-150X","authenticated-orcid":false,"given":"Bruno","family":"Maltese Zuffo","sequence":"first","affiliation":[{"name":"Surgery Department, Irmandade da Santa Casa de Miseric\u00f3rdia de S\u00e3o Paulo, Sao Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pedro Souza","family":"Lucarelli-Antunes","sequence":"additional","affiliation":[{"name":"Faculdade de Ci\u00eancias M\u00e9dicas da Santa Casa de S\u00e3o Paulo, Sao Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luca Giovanni Antonio","family":"Pivetta","sequence":"additional","affiliation":[{"name":"Department of Emergency Service, Irmandade da Santa Casa de Miseric\u00f3rdia de S\u00e3o Paulo, Sao Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9 Cesar","family":"Assef","sequence":"additional","affiliation":[{"name":"Department of Emergency Service, Irmandade da Santa Casa de Miseric\u00f3rdia de S\u00e3o Paulo, Sao Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,6,24]]},"reference":[{"key":"2025082802480668000_14.6.e239942.1","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-1383(01)00081-X"},{"key":"2025082802480668000_14.6.e239942.2","doi-asserted-by":"crossref","first-page":"618","DOI":"10.1097\/00005373-199710000-00009","article-title":"Solid viscus injury predicts major hollow viscus injury in blunt abdominal trauma","volume":"43","author":"Nance","year":"1997","journal-title":"J Trauma"},{"key":"2025082802480668000_14.6.e239942.3","doi-asserted-by":"crossref","first-page":"1000","DOI":"10.1007\/s005950200201","article-title":"Multiple gastric ruptures caused by blunt abdominal trauma: report of a case","volume":"32","author":"Ishikawa","year":"2002","journal-title":"Surg Today"},{"key":"2025082802480668000_14.6.e239942.4","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-1383(03)00212-2"},{"key":"2025082802480668000_14.6.e239942.5","doi-asserted-by":"crossref","first-page":"880","DOI":"10.1177\/000313480707300910","article-title":"Blunt gastric injuries","volume":"73","author":"Oncel","year":"2007","journal-title":"Am Surg"},{"key":"2025082802480668000_14.6.e239942.6","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1097\/01.TA.0000046261.06976.6A","article-title":"East multi-institutional hollow Viscus injury Research Group. incidence of hollow Viscus injury in blunt trauma: an analysis from 275,557 trauma admissions from the East multi-institutional trial","volume":"54","author":"Watts","year":"2003","journal-title":"J Trauma"},{"key":"2025082802480668000_14.6.e239942.7","doi-asserted-by":"crossref","first-page":"1119","DOI":"10.1097\/TA.0000000000002058","article-title":"Organ injury scaling 2018 update: spleen, liver, and kidney","volume":"85","author":"Kozar","year":"2018","journal-title":"J Trauma Acute Care Surg"},{"key":"2025082802480668000_14.6.e239942.8","first-page":"424","article-title":"Gastric rupture from blunt trauma. A plea for minimal diagnostics and early surgery","volume":"50","author":"Courcy","year":"1984","journal-title":"Am Surg"},{"key":"2025082802480668000_14.6.e239942.9","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-197503000-00001"},{"key":"2025082802480668000_14.6.e239942.10","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1177\/000313480707300111","article-title":"Factors affecting prognosis in patients with gastric trauma","volume":"73","author":"Edelman","year":"2007","journal-title":"Am Surg"},{"key":"2025082802480668000_14.6.e239942.11","first-page":"10","article-title":"Gastric trauma: a straightforward injury, but no room for complacency","volume":"46","author":"Madiba","year":"2008","journal-title":"S Afr J Surg"},{"key":"2025082802480668000_14.6.e239942.12","doi-asserted-by":"crossref","DOI":"10.1097\/MD.0000000000006774","article-title":"A case report of blunt gastric perforation treated with endoscopic clip closure","volume":"96","author":"Li","year":"2017","journal-title":"Medicine"},{"key":"2025082802480668000_14.6.e239942.13","doi-asserted-by":"crossref","first-page":"85","DOI":"10.4329\/wjr.v9.i2.85","article-title":"Gastric blunt traumatic injuries: a computed tomography grading classification","volume":"9","author":"Solazzo","year":"2017","journal-title":"World J Radiol"},{"key":"2025082802480668000_14.6.e239942.14","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1016\/j.ejrad.2006.04.028","article-title":"Gastric traumatic injuries: CT findings","volume":"59","author":"Lassandro","year":"2006","journal-title":"Eur J Radiol"},{"key":"2025082802480668000_14.6.e239942.15","doi-asserted-by":"crossref","first-page":"1779","DOI":"10.1007\/s00268-012-1602-4","article-title":"Esophagogastric trauma in Scotland","volume":"36","author":"Skipworth","year":"2012","journal-title":"World J Surg"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2020-239942","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T09:48:14Z","timestamp":1756374494000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2020-239942"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6]]},"references-count":15,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2021,6,24]]},"published-print":{"date-parts":[[2021,6]]}},"alternative-id":["10.1136\/bcr-2020-239942"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2020-239942","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2021,6]]}}}