Subcutaneous rupture of the duodenum
Krasi'lnikov, D.M.; Akhmerov, A.B.; Fedorov, V.V.; Afana'seva, Z.A.
Klinicheskaia Khirurgiia 4: 41-42
1989
ISSN/ISBN: 0023-2130 PMID: 2666713 Document Number: 333788
The results of the treatment of 7 patients with subcutaneous rupture of the duodenum are analysed. The correct diagnosis before the operation was established in 1 case only. At operation, a retroperitoneal hematoma with a dash of bile, and a retroperitoneal emphysema as well were revealed in all the patients. The closure of the rupture, drainage of the subhepatic and retroperitoneal space, duodenal decompression in 3 patients by means of intubation with the two-lumen probe, in 2--creation of gastroduodenoanastomosis were performed. One patient underwent Roux-en-Y duodenostomy. Two patients died.