Jejunal Perforation After a Horse Kick: A Case Report

Jejunal Perforation Associated With a Horseshoe-Shaped Abdominal Contusion After a Horse Kick: A Case Report
Clin Case Rep. 2026 Oct 2;14(10):e73687. doi: 10.1002/ccr3.73687. eCollection 2026 Oct.
Authors
Jun Yoshida 1 , Takehiko Hanaki 1 2 , Yu Sakano 1 3 , Yoshiyuki Fujiwara 1
Affiliations

1 Division of Gastrointestinal and Pediatric Surgery, Department of Surgery Tottori University Faculty of Medicine Yonago Japan.
2 Division of Medical Education, Department of Medical Education Tottori University Faculty of Medicine Yonago Japan.
3 Department of Surgery Tottori Red Cross Hospital Tottori Japan.

PMID: 42829548
PMCID: PMC13633409
DOI: 10.1002/ccr3.73687

Abstract

A horseshoe-shaped abdominal contusion after a horse kick may indicate the site of underlying bowel injury. When accompanied by persistent abdominal pain or peritoneal signs, hollow viscus injury should be considered. Contrast-enhanced CT can identify free air and focal bowel abnormalities at the impact site, facilitating timely surgical management.

Keywords: blunt abdominal trauma; equestrian trauma; horse kick; isolated small bowel perforation; jejunal injury.

© 2026 The Author(s). Clinical Case Reports published by John Wiley & Sons Ltd.