A Celik1,2, E Altinli3, N Koksal3, E Onur4, A Sumer5, M Ali Uzun3, M Kayahan3. 1. 2nd Department of General Surgery, Haydarpasa Numune Training and Research Hospital, Istanbul, Turkey. dratillacelik@yahoo.com. 2. Libadiye Cad. Soyak Goztepe Sitesi, 46. Blok, D: 813, Uskudar, 34700, Istanbul, Turkey. dratillacelik@yahoo.com. 3. 2nd Department of General Surgery, Haydarpasa Numune Training and Research Hospital, Istanbul, Turkey. 4. Department of General Surgery, Fatih Sultan Mehmet Training and Research Hospital, Istanbul, Turkey. 5. Department of General Surgery, Yuzuncu Yil University, Van, Turkey.
Abstract
INTRODUCTION: Duodenal injuries are uncommon and are associated with significant morbidity and mortality due to delayed diagnosis (in the case of blunt trauma) or associated major vascular injuries (in the case of penetrating trauma). Isolated blunt injuries may have a subtle clinical presentation, and are particularly difficult to diagnose when the perforation is located in the retroperitoneal part of the duodenum. MATERIALS AND METHODS: This paper presents in company with three cases of successfully treated isolated duodenal injuries due to blunt trauma, focusing on with their preoperative diagnosis, surgical management and final out comes. CONCLUSIONS: Early diagnosis and successful surgical planning require experience and clinical suspicion on the part of the surgeon, as well as meticulous laparotomy results.
INTRODUCTION: Duodenal injuries are uncommon and are associated with significant morbidity and mortality due to delayed diagnosis (in the case of blunt trauma) or associated major vascular injuries (in the case of penetrating trauma). Isolated blunt injuries may have a subtle clinical presentation, and are particularly difficult to diagnose when the perforation is located in the retroperitoneal part of the duodenum. MATERIALS AND METHODS: This paper presents in company with three cases of successfully treated isolated duodenal injuries due to blunt trauma, focusing on with their preoperative diagnosis, surgical management and final out comes. CONCLUSIONS: Early diagnosis and successful surgical planning require experience and clinical suspicion on the part of the surgeon, as well as meticulous laparotomy results.
Authors: E E Moore; T H Cogbill; M A Malangoni; G J Jurkovich; H R Champion; T A Gennarelli; J W McAninch; H L Pachter; S R Shackford; P G Trafton Journal: J Trauma Date: 1990-11
Authors: Joseph J DuBose; Kenji Inaba; Pedro G R Teixeira; Anthony Shiflett; Bradley Putty; D J Green; David Plurad; Demetrios Demetriades Journal: Am Surg Date: 2008-10 Impact factor: 0.688