A case of traumatic duodenal perforation due to blunt abdominal trauma
Keywords:Trauma, Duodenal, Perforation
Duodenal injury following blunt abdominal trauma is a rare clinical entity and is often unnoticed leading to delay in management thereby increasing morbidity and mortality. We reported a case of duodenal perforation following blunt abdominal trauma with near complete transaction of duodenum at junction of D2 and D3 with grade 1 splenic laceration and highlight the challenges and decision-making dilemmas associated with its management.
Machado NO. Management of duodenal perforation post-endoscopic retrograde cholangiopancrea-tography. When and whom to operate and what factors determine the outcome? A review article. JOP. 2012;13:18-25.
Moller MH, Adamsen S, Thomsen RW, Møller AM, Peptic Ulcer Perforation (PULP) trial group. Multicentre trial of a perioperative protocol to reduce mortality in patients with peptic ulcer perforation. Br J Surg. 2011;98:802-10.
Lau JY, Sung J, Hill C, Henderson C, Howden CW, Metz DC. Systematic review of the epidemiology of complicated peptic ulcer disease: incidence, recurrence, risk factors and mortality. Digestion. 2011;84:102-13.
Malhotra A, Biffl WL, Moore EE, Schreiber M, Albrecht RA, Cohen M, et al. Western trauma association critical decisions in trauma: diagnosis and management of duodenal injuries. J Trauma Acute Care Surg. 2015;79:1096-101.
Lam JP, Eunson GJ, Munro FD, Orr JD. Delayed presentation of handlebar injuries in children. Br Med J 2001;322:1288-9.
Lucas CE, Ledgerwood AM. Factors influencing outcome after blunt duodenal inju-ry. J Trauma 1975;15:839-46.
Schroeppel TJ, Saleem K, Sharpe JP. Penetrating Duodenal Trauma: a 19 year experience. J Trauma Acute Care Surg. 2016;80(3):461-5.
García Santos E, Soto Sánchez A, Verde JM, Marini CP, Asensio JA, Petrone P. Duodenal injuries due to trauma: review of the literature. Cir Esp. 2015;93(2):68-74.
Pandey S, Niranjan A, Mishra S, Agrawal T, Singhal BM, Prakash A, et al. Retrospective analysis of duodenal injuries: a comprehensive overview. Saudi J Gastroenterol. 2011;17(2):42-144.
Kutlu OC, Garcia S, Dissanaike S. The successful use of simple tube duodenos-tomy in large duodenal perforations from varied etiologies. Int J Surg Case Rep. 2013;4:279-82.