Traumatic Perforation of the Duodenum – A Case Review
Authors:
J. Šiller; L. Sákra; K. Havlíček; R. Machačová *
Authors‘ workplace:
Chirurgická klinika Pardubické krajské nemocnice, a. s., přednosta: doc. MUDr. K. Havlíček, CSc.
Katedra klinických oborů, fakulta zdravotnických studií Univerzity Pardubice
; Odděleni radiodiagnostiky Pardubické krajské nemocnice, a. s, primář: MUDr. D. Spitzer
*
Published in:
Rozhl. Chir., 2009, roč. 88, č. 2, s. 55-58.
Category:
Monothematic special - Original
Overview
A blunt duodenal injuries are rare in spite of high-energetic injuries are common in this time. The diagnostic is very difficult not only for the reason of the little experience with this type of the injury but in term of the duodenal anatomic localization too. On the other side just late injury Identification of the retroperitoneal part of the duodenum leads to rapid development of the fatal retroperitoneal phlegmon.
The development of the clinical symptoms and results of the paraclinical equipment examinations during blunt injury of the upper abdominal part with consequent perforation of the posterior retroperitoneal segment of the duodenum is well-documented by means of the mentioned case. The development of the retroperitonal phlegmon was not noticed despite of the slight diagnostic delayed and defect in the duodenal wall was treated by suture of the perforation aperture.
The early detection of the duodenal injury is necessary premise for the good choice of the adequate surgical treatment.
Key words:
blunt trauma the duodenum – pneumoretroperitoneum
Sources
1. Clendenon, J. N., Mezera, R. L., Nance, M. L., Scaife, E. R. Management of duodenal injuries in children. J. Pediatr. Surg., 2004, roč. 39, č. 6, s. 964–968.
2. Taylor, T. V. Upper digestive surgery. London: Hartcourt, 1999, 734–736 s. ISBN 0-7020-1434-6.
3. Rickard, M. J., Brohi, K., Bautz, P. C. Pancreatic and duodena injuries: keep it simple. ANZ J. Surg., 2005, roč. 75, č. 7, s. 581–586.
4. Beyrouti, M. I., Beyrouti, P., Kchaou, I., Gharbi, W. Duodeno-pancreatic trauma. About 14 cases. Tunis Med., 2005, roč. 83, č. 2, s. 73–82.
5. Sriussadaporn, S., Park-art, R., Kritavakirana, K. Managament of blunt duodena injuries. J. Med. Assoc. Thai, 2004, roč. 87, č. 11, s. 1336–1442.
6. Stevens, A., Little J. M. Duodenal trauma. AUST N Z J. Surg., 1987, roč. 57, č. 10, s. 709–713.
7. Fullen, W. D., Selle, J. G., Altemeir, W. E. Intramural duodenal hematoma. Anna Surg., 1974, roč. 179, s. 549–555.
8. Berne, C. J., Donovan, A. J., Yellin, A. E. et al. Duodenal diverticularization for duodenal and pancreatic injury. Am. J. Surg., 1974, roč. 127, s. 785–790.
9. Sule, A. Z., Kosmas, A. T., Alani, K., Uba, F., Misauno, M. Gastrointestinal perforation following blunt abdominal trauma. East Afr. Med. J. , 2007, roč. 84, č. 9, s. 429–433.
Labels
Surgery Orthopaedics Trauma surgeryArticle was published in
Perspectives in Surgery
2009 Issue 2
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