Isolated duodenal injury - case report
Authors:
Lumír Tomala; Martin Bartoň
Authors‘ workplace:
Surgical Department, Hospital Karvina
; Chirurgické oddělení, NsP Karviná-Ráj
Published in:
Úraz chir. 24., 2016, č.1
Overview
INTRODUCTION:
Isolated duodenal injuries are rare occured infrequently. The aim of this case report is to show how tricky the diagnostics of these injuries can be.
CASE REPORT:
In this case report we documented clinical signs and results of investigations in a patient with isolated duodenal rupture with atypical history.
DISCUSSION:
Duodenal injuries are severe injuries. They are often associated with injuries of other intraperitoneal and/or retroperitoneal organs. Diagnosis is often delayed because of rare occurence and non-specific physical findings. Diagnostic delay results in increased morbidity and mortality.
CONCLUSION:
The key aspect is to diagnose these injuries as soon as possible.
Key words:
Isolated duodenal injury, diagnosis, therapeutics.
Sources
1. COGBIL, T., MOORE, E., FELICIANO, D. Conservative Management of Duodenal Trauma: A Multicenter perspective. J Trauma. 1990, 12, 1469–1475. ISSN 0022-5282
2. ČERNÝ, J. Špeciálna chirurgia I. 2. vyd. Bratislava: Osveta, 1996. 497 s. ISBN 8088824265
3. DEGIANNIS, E., BOFFARD, K. Duodenal injuries. J Surg Br. 2000, 87, 1473-1479. ISSN 0007-1323
4. GARY, SA., FREDERICK, A., MOORE, ChS. et al. Delayed diagnosis of blunt duodenal injury: an avoidable complication. JACS.1998, Oct., 393–399. ISSN 1072-7515
5. FANG, JF, CHEN, RJ. LIN, BCH. Surgical treatment and outcome after delayed diagnosis of blunt duodenal injury. Eur J Surg. 1999, 2, 133–139. ISSN 1102-4151
6. KHAN, M., GARNER, J., KELTY C. Management of duodenal injuries. Trauma. 2012, 14, 3–15. ISSN 1460-4086
7. MOSHE, S., ROGERS, PN. Urgentní břišní chirurgie. 2. vyd. Praha: Grada, 2005. 287 s. ISBN 978-80-247-2357-0
8. SAHOO, S., PATTANAYAK, S., MALLICK, S. A modified approach to decompression of primary repair of the duodeno/jejunal flexure transection after blunt trauma. Trauma. 2014, 16, 207–213. ISSN 1460-4086
9. ŠILLER, J., SÁKRA, L., HAVLÍČEK K. Traumatická perforace duodena – kazuistika. Rozhl Chir. 2009, 2, 55–58.
10. VYHNÁNEK, F., DUCHÁČ, V., SKÁLA, P. Damage kontrol laparotomie u tupého poranění břicha. Acta Chir Orthop Traumatol Cech. 2009, 76, 310–313. ISSN 0001-5415
Labels
Surgery Traumatology Trauma surgeryArticle was published in
Trauma Surgery
2016 Issue 1
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