DOI: http://dx.doi.org/10.18203/2349-2902.isj20203274

Complete transection of third part of duodenum following blunt injury abdomen: a rare case report

Noufal Thekkekara Basheer, Jothiprasad Venkatesan, Amaradeepthi Pravallika, Sureeskumar Subramaniam, Venugopal Sarveswaran

Abstract


Blunt injury abdomen (BIA) is an ever-increasing problem. Isolated injury to duodenum following BIA is rare (1-4%). It can be a challenge to the surgeon and failure to manage it properly can lead on to devastating results. Blunt duodenal injury can occur in isolation or with pancreatic injury. We report a case of an isolated transection of third part of the duodenum following BIA. Initial clinical changes in isolated duodenal injury may be subtle before life-threatening peritonitis develops. High index of suspicion, knowledge of mechanism of injury, physical examination and proper imaging techniques are the key in early detection of duodenal injury.


Keywords


Blunt injury abdomen, Isolated duodenal injury, Duodenorrhaphy, Duodenostomy

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References


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