Blunt gastric rupture is an uncommon entity, occurring with an incidence of 0.02% to 1.7% in blunt abdominal trauma.
The majority of patients with gastric rupture will present with signs of shock or abdominal tenderness.
CT findings suggestive of gastric rupture include stomach dilatation, free intraperitoneal air, intraperitoneal position of the nasogastric tube, intraperitoneal fluid collection, and extraluminal oral contrast.
Repair of the stomach with a 2-layer closure is the treatment of choice for blunt gastric rupture. (2) Many blunt injuries may require resection after debridement.