Retroperitoneal perforation of duodenum - surgical approach
Kowalewski, P.; Najdecki, M.E.; Trojanowski, P.; Paśnik, K.
Polski Merkuriusz Lekarski Organ Polskiego Towarzystwa Lekarskiego 38(226): 219-221
2015
ISSN/ISBN: 1426-9686 PMID: 25938390 Document Number: 679263
Retroperitoneal perforation of the duodenum, caused by abdominal trauma, endoscopic examination or diverticulitis, is a serious clinical problem, because of it's lack of specific symptoms. Surgical treatment is often performed in sepsis. That is why the knowledge of adequate techniques is crucial for surgeons. We would like to present our model of surgical approach, based on several trauma center's cases. Among the methods and techniques presented we emphasize the duodenal by-pass with bile duct drainage. Post-op cases of gastrojejunal anastomosis' bleeding prompt to implement a selective vagotomy, which however requires further studies.