Injury to Third Part of Duodenum Without Pancreatic Injury Following Blunt Trauma Abdomen

Abstract

BACKGROUNDDuodenal perforation following blunt trauma abdomen is extremely rare and can often be overlooked injury due to increased mortality and morbidity. We report a case of injury to second and third part of duodenum without pancreatic injury following blunt trauma abdomen and highlight the changes associated with their management. In this patient, there was a full thickness injury in second and third part of duodenum at laparotomy as he presented with pain abdomen and vomiting. During trauma related laparotomies, complete kocherisation (mobilisation) of the duodenum must be mandatory even in the presence of other injuries. We emphasise on keeping the management protocol simple by doing primary closure of duodenal injury with feeding jejunostomy.