DOI: https://doi.org/10.36347/sjmcr.2026.v14i03.010

Pages: 359-362

Penetrating abdominal trauma is a common surgical emergency. Severity depends on the injured organs and the delay to definitive management. We report the case of a 45-year-old chronic smoker presenting with an epigastric stab wound. He was hemodynamically stable on admission. Contrast-enhanced CT demonstrated the knife penetrating the antro-pyloric region of the stomach, associated with a small hem pneumoperitoneum and a peri-splenic sentinel hematoma. Emergency laparotomy confirmed a punctiform perforation of the lesser curvature, which was treated with primary suture reinforced by an omental patch. Postoperative recovery was uneventful. This case highlights the importance of early CT evaluation and prompt operative management to minimize morbidity and mortality in penetrating abdominal trauma.