A case of traumatic isolated duodenal perforation due to blunt abdominal trauma

Isolated 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 report a case of isolated duodenal perforation following blunt abdominal trauma and highlight the challenges and decision-making dilemmas associated with its management. The present patient had two perforations, one on the anterior and the other on the posterior wall of the duodenum. Complete duodenal mobilization during laparotomy and a decision of performing pyloric exclusion aided momentously in the management.

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An isolated duodenal perforation in pediatric blunt abdominal trauma: a rare but distinct possibility

Burns & Trauma ◽

10.1186/s41038-015-0008-6 ◽

2015 ◽

Vol 3 ◽

pp. 1-4 ◽

Cited By ~ 1

Author(s):

Anjan Kumar Dhua ◽

Manoj Joshi

Keyword(s):

Blunt Trauma ◽

Computerized Tomography ◽

Clinical Features ◽

Abdominal Trauma ◽

Blunt Abdominal Trauma ◽

Pediatric Trauma ◽

Duodenal Perforation ◽

Duodenal Injury ◽

Contrast Enhanced

Abstract Isolated duodenal perforation (IDP) in pediatric trauma is rarely reported. Since most of the children with blunt trauma are managed expectantly, timely diagnosis is imperative to avoid morbidity and mortality. We report a case of IDP and emphasize on certain specific clinical features indicating possibility of duodenal injury. We also stress upon the role of early contrast-enhanced computerized tomography (CECT) in such cases.

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Duodenal Perforation following Blunt Abdominal Trauma Presenting as Normal in Abdominal Computed Tomography

Hong Kong Journal of Emergency Medicine ◽

10.1177/102490791402100610 ◽

2014 ◽

Vol 21 (6) ◽

pp. 396-399 ◽

Cited By ~ 1

Author(s):

Pk Tsai ◽

Yt Yeh ◽

Cb Yeh

Keyword(s):

Computed Tomography ◽

Abdominal Trauma ◽

Blunt Abdominal Trauma ◽

Life Support ◽

Optimal Time ◽

Advanced Trauma Life Support ◽

Duodenal Perforation ◽

Abdominal Ct ◽

Abdominal Computed Tomography ◽

Repeat Examination

Most emergency department (ED) physicians implement the Advanced Trauma Life Support (ATLS) approach, including primary and secondary survey, for the assessment of blunt abdominal trauma (BAT) patients. This report emphasizes the need for repeat Focused Assessment with Sonography for Trauma (FAST) and abdominal computed tomography (CT) if a BAT patient's condition persists or worsens. After initial negative FAST and abdominal CT findings, it is recommended that BAT patients with suspected intraabdominal injury should receive repeat examination in an optimal time. We report a patient who sustained duodenal perforation following BAT diagnosed by repeat ultrasound examination and abdominal CT scan. (Hong Kong j.emerg.med. 2014;21:396-399)

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Retroperitoneal duodenal perforation and IVC injury in blunt abdominal trauma: Pushing the boundaries of non-operative management? Brief report and a review of the literature

Injury Extra ◽

10.1016/j.injury.2013.09.036 ◽

2013 ◽

Vol 44 (10-12) ◽

pp. 90-94

Author(s):

Ye Xin Koh ◽

Jeremy Chung Fai Ng ◽

Ting Hway Wong ◽

Preetha Madhukumar ◽

Hock Soo Ong ◽

...

Keyword(s):

Abdominal Trauma ◽

Blunt Abdominal Trauma ◽

Operative Management ◽

Duodenal Perforation ◽

Review Of The Literature ◽

Non Operative Management

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Impacto de la infección por SARS-CoV-2 (COVID-19) en el tratamiento de una lesión duodenal por arma de fuego

Revista Argentina de Cirugía ◽

10.25132/raac.v112.n4.1573.ei ◽

2020 ◽

Vol 112 (4) ◽

pp. 445-449

Author(s):

Mora Achával ◽

◽

Sofía I. Rapp ◽

Facundo Nogueira ◽

Juan C. López Meyer ◽

...

Keyword(s):

Decision Making ◽

Surgical Management ◽

Percutaneous Drainage ◽

Treatment Options ◽

Severe Pneumonia ◽

Duodenal Injury ◽

Initial Surgery ◽

Pyloric Exclusion ◽

Severity Of The Disease ◽

Determining Factor

We report the case of a patient with an abdominal gunshot trauma with liver and duodenal injury who underwent pyloric exclusion and liver repair in another institution. The patient was transferred to our institution 12 hours after surgery. During hospitalization, severe pneumonia due to COVID-19 and complications of the initial surgery developed. Non-surgical management was decided due to the severity of the disease. Percutaneous drainage allowed for the management of the collections avoiding a major initial surgery. Once he recovered from the pneumonia, the definite surgery was performed. Severe COVID-19 pneumonia in a patient with serious duodenal shotgun injury is a determining factor for decision-making of treatment options.

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Isolated duodenal perforation associated with blunt abdominal trauma

Sri Lanka Journal of Surgery ◽

10.4038/sljs.v37i3.8569 ◽

2019 ◽

Vol 37 (3) ◽

pp. 19

Author(s):

Rajathurai Nisanthan ◽

Peethamparam Jeepara ◽

Sampath Herath

Keyword(s):

Abdominal Trauma ◽

Blunt Abdominal Trauma ◽

Duodenal Perforation

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Non-operative treatment of duodenal perforation secondary to blunt abdominal trauma

Injury ◽

10.1016/s0020-1383(01)00036-5 ◽

2001 ◽

Vol 32 (6) ◽

pp. 513-515 ◽

Cited By ~ 3

Author(s):

M.G.H. Besselink ◽

N.C.A.S. Berende ◽

R.M. Preshaw ◽

C. Romano ◽

J. Kortbeek

Keyword(s):

Operative Treatment ◽

Abdominal Trauma ◽

Blunt Abdominal Trauma ◽

Duodenal Perforation

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Traumatic Duodenal Rupture and Avulsion of the Ampulla of Vater

HPB Surgery ◽

10.1155/1994/12435 ◽

1994 ◽

Vol 7 (3) ◽

pp. 225-229 ◽

Cited By ~ 3

Author(s):

M. R. Cox ◽

M. C. Eastman

Keyword(s):

Pancreatic Duct ◽

Abdominal Trauma ◽

Blunt Abdominal Trauma ◽

Ampulla Of Vater ◽

Intramural Haematoma ◽

Duodenal Injury ◽

Severity Of Injury

Duodenal injury following blunt abdominal trauma is uncommon. The severity of injury can vary from an intramural haematoma to a duodenal rupture with associated transection of the pancreatic duct. A case of duodenal rupture with avulsion of the ampulla of Vater is presented and discussed.

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