Article ; Online: An Extraordinary Case of Isolated Duodenal Injury after Blunt Abdominal Trauma.
Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
2022 Volume 32, Issue 4, Page(s) 522–524
Abstract: Duodenal injuries are rare due to their preserved retroperitoneal location. They are mostly observed after deep penetration or high-impact blunt trauma. They are difficult to diagnose and treat. Our purpose was to report a case of duodenal injury after ... ...
Abstract | Duodenal injuries are rare due to their preserved retroperitoneal location. They are mostly observed after deep penetration or high-impact blunt trauma. They are difficult to diagnose and treat. Our purpose was to report a case of duodenal injury after blunt trauma with the review of the literature. A 20-year male patient was brought to Emergency Department with abdominal pain after an accident, in which he was stuck between a reversing truck and a pole. Rigidity in all abdominal quadrants was detected. Free pelvic fluid was observed in computed tomography (CT). There was a grade II laceration at the fourth part of the duodenum. The laceration was primarily sutured, and a naso-jejunal tube was placed. The patient was discharged on postoperative day-8 with uneventful recovery. In suspicion of duodenal trauma, a meticulous anamnesis, careful physical examination, proper imaging technique at appropriate timing, and surgical exploration are important to reduce morbidity and mortality. Imaging findings of retroperitoneal organ injuries can be non-specific. We suggest that surgical exploration should be the first choice of treatment in cases with acute abdomen findings. Key Words: Blunt trauma, Acute abdomen, Duodenum, Retroperitoneum. |
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MeSH term(s) | Abdominal Injuries/complications ; Abdominal Injuries/diagnostic imaging ; Abdominal Pain ; Duodenum/injuries ; Humans ; Male ; Tomography, X-Ray Computed ; Wounds, Nonpenetrating/complications ; Wounds, Nonpenetrating/surgery |
Language | English |
Publishing date | 2022-03-21 |
Publishing country | Pakistan |
Document type | Case Reports |
ZDB-ID | 2276646-7 |
ISSN | 1681-7168 ; 1022-386X |
ISSN (online) | 1681-7168 |
ISSN | 1022-386X |
DOI | 10.29271/jcpsp.2022.04.522 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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