Background: Ileum perforation resulting from blunt trauma is rare condition. Early recognition of small bowel injury is important in order to prevent morbidity, because delay in diagnosis may lead to several complication such as abscess, sepsis, and mortality due to delayed in surgical repair. Case description: A 31 years old male has multiple ileum perforation after blunt trauma resulting from motorcycle accident. The sign and symptoms apparent peritonitis occurred more than 6 hours of observation. Explorative laparotomy was performed and showed multiple ileum perforation and mesenterial tears. Resection of ileum was done with 5 cms length and ileoileal anastomose was performed. Patient recovered well and no complication noted. Patient was discharged after 11 days of hospitalization. Conclusion: The clinically apparent peritonitis from small bowel perforation may develop slowly so the careful examination and observation is required in patient with abdominal blunt trauma. Early recognition is important in order to prevent morbidity, complication, and mortality.

Blunt trauma

Abdominal trauma

Ileum perforation

Small bowel