An Extraordinary Case of Isolated Duodenal Injury after Blunt Abdominal Trauma | [Journal of College of Physicians and Surgeons--Pakistan : JCPSP • 2022]

Author(s):

1. Mehmet Zeki Buldanli: Department of General Surgery, Gulhane Training and Research Hospital, University of Health Sciences,Ankara,Turkey

2. Nuray Colapkulu: Department of General Surgery, Goztepe Training and Research Hospital, Istanbul Medeniyet University,Istanbul,Turkey

3. Oktay Yener: Department of General Surgery, Goztepe Training and Research Hospital, Istanbul Medeniyet University,Istanbul,Turkey

4. Ibrahim Ali Ozemir: Department of General Surgery, Goztepe Training and Research Hospital, Istanbul Medeniyet University,Istanbul,Turkey

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 di cult 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 uid 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 ndings of retroperitoneal organ injuries can be non-speci c. We suggest that surgical exploration should be the rst choice of treatment in cases with acute abdomen fndings.

Page(s): 522-524

DOI: DOI not available

Published: Journal: Journal of College of Physicians and Surgeons--Pakistan : JCPSP, Volume: 32, Issue: 4, Year: 2022

Keywords:

acute abdomen , Blunt trauma , Duodenum , Retroperitoneum

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