Duodenal trauma. our management
Vadra, J.E.; Altrudi, R.D.; Yarrouge, M.; Lago, M.E.; Vadra, G.D.
Acta Gastroenterologica Latinoamericana 18(2): 139-152
1988
ISSN/ISBN: 0300-9033 PMID: 3075108 Document Number: 312299
1) The results over 16 patients with duodenal trauma are presented. 2) Duodenal injuries are classified into the following categories: a) intramural hematoma; b) intraperitoneal rupture; c) retroperitoneal rupture and d) intra and retroperitoneal rupture. 3) The mortality rate was 31.2% and the morbidity rate was 56%. This gravity is due to the extent of the lesions, to the difficulties and complications of repair, to late-even erroneous-diagnosis and to associated lesions, especially pancreatic injury. 4) The diagnosis and operative treatment are discussed, especially operative diagnosis, surgical exploration and the problem of repair in function of the type, the location, the extent, the multiplicity and the association with other lesions.