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J Surg Tech Case Rep. 2014 Jul-Dec;6(2):67-9. doi: 10.4103/2006-8808.147264.

Duodenal Transection without Pancreatic Injury following Blunt Abdominal Trauma.

Journal of surgical technique and case report

Sanket Subhash Bankar, Vikas S Gosavi, Mohd Hamid

Affiliations

  1. Department of General Surgery, Government Medical College, Miraj, India.

PMID: 25598947 PMCID: PMC4290044 DOI: 10.4103/2006-8808.147264

Abstract

With the inventions of faster cars and even more faster motorbikes there is a worldwide increase in road traffic accidents, which has increased the incidence of blunt abdominal trauma but still duodenal injury following a blunt abdominal trauma is uncommon and can pose a formidable challenge to the surgeon and failure to manage it properly can result in devastating results. It may typically occur in isolation or with pancreatic injury. Here, we report a case of an isolated transection of the third part of the duodenum with normal pancreas following a blunt abdominal trauma. The initial clinical changes in isolated duodenal injury may be extremely subtle before life-threatening, peritonitis develops. Hence, a high index of suspicion, on the basis of mechanism of injury and physical examination is the key in early detection of duodenal injury especially in a rural hospital like ours where the facilities for computed tomography scan are not available.

Keywords: Duodenal injury; peritonitis; transection

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