Operative Approach in Traumatic Injuries of the Duodenum

Bozkurt, Birkan; Özdemir, Buket Altun; Koçer, Bülent; Ünal, Bülent; Dolapci, Mete; Cengîz, Ömer

doi:10.1080/00015458.2006.11679916

Cited by 31 publications

(23 citation statements)

References 5 publications

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“…It also begins to define differences in outcomes of these hematomas based on duodenal injury score. Although the injury score has been described in other studies evaluating duodenal injuries, ours is the first study to use this score to specifically evaluate outcomes in patients with duodenal hematomas, exclusive of higher grades of duodenal injury [1,14].…”

Section: Discussionmentioning

confidence: 96%

Management of traumatic duodenal hematomas in children

Peterson

Abbas

Fallon

et al. 2015

Journal of Surgical Research

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Section: Discussionmentioning

confidence: 96%

Management of traumatic duodenal hematomas in children

Peterson

Abbas

Fallon

et al. 2015

Journal of Surgical Research

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“…The most important factor for successful outcome of primary repair seems to be the time to surgery. A delay in diagnosis for longer than 24 hours results in a thickened, friable and inflamed duodenal wall that may lead to catastrophic consequences (3,5).…”

Section: R Méndez-gallart Et Almentioning

confidence: 99%

Isolated pediatric duodenal rupture after horse hoof kick

Méndez-Gallart

Estevez-Martinez

Rodríguez-Barca

et al. 2013

Rev. esp. enferm. dig.

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An 8 year-old-boy was referred because of abdominal pain 24 hours after being hoof-kicked by a horse in the abdominal wall. On arrival the boy appeared ill, with nausea and vomiting and right abdominal pain. Physical examination revealed epigastric tenderness with muscle guarding in the upper abdominal wall. Because of persistent pain CT was performed and further revealed a very small amount of free subhepatic air just attached to the duodenum (Fig. 1). A hollow viscus injury was suspected. At surgery there was bile staining and dirty fluid in the paraduodenal area. A duodenal perforation (1 cm) located in the retroperitoneal segment was noticed (Fig. 2). A primary surgical repair of the duodenal rupture was made. The patient's postoperative course was uneventful and was discharged at home seven days later. DISCUSSION

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“…[2] The management of duodenal injuries has long been debated. Because of low frequency of isolated duodenal trauma and high probability of development of morbidity such as fistula formation , sepsis after its repair has made this entity a challenging problem [3] Mortality and morbidity from duodenal injuries are related to the causative agent, location, presence of associated injuries, and type of surgical repair. However, the interval from injury to operation plays the most significant role in determining the incidence of morbidity and mortality.…”

Section: Introductionmentioning

confidence: 99%