Journals / Şişli Etfal Hastanesi Tıp Bülteni / 2010 / Cilt: 44 - Sayı: 2

Completely pyloroduodenal avulsion following blunt abdominal trauma: Case report

Künt karın travması sonrası tam piloroduodenal avülsiyon: Olgu sunumu

Pages
76–79
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

We aim to present our rarely seen case with this article.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Approximately 3-5% of all abdominal traumas are associated with duodenal injury, and most of these result from penetrating trauma.
📊
Key Findings & Data:These injuries are usually in the form of small lacerations or hematomas; and 90% is accompanied by injury of at least one additional organ.
💡
Conclusion & Impact:We aim to present our rarely seen case with this article.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Approximately 3-5% of all abdominal traumas are associated with duodenal injury, and most of these result from penetrating trauma. These injuries are usually in the form of small lacerations or hematomas; and 90% is accompanied by injury of at least one additional organ. Current literature recognizes only one case of isolated, all around and full thickness duodenal rupture following blunt abdominal trauma in the absence of other intraabdominal organ or great vessel injury as in this case(1). It is well known that early recognition and prompt treatment of duodenal injury significantly reduces morbidity and mortality. Considering the possibility of gastroduodenal injuries in patient with blunt abdominal trauma also enables early diagnosis and treatment. We aim to present our rarely seen case with this article.

Özet

Tüm karın yaralanmalarının %3-5’inde duodenum yaralanmaları meydana gelmekte olup bunların büyük çoğunluğu penetran travmalar sonucu oluşmaktadır. Yaralanmalar genellikle küçük laserasyon veya hematom şeklinde olup yaklaşık %90’ına en az bir organ yaralanması da eşlik etmektedir. Güncel literatüre baktığımızda, bizim olgumuz gibi künt karın travması sonucu başka bir organ veya büyük damar yaralanması olmaksızın gelişen, tam kat ve çepeçevre piloroduodenal avülsiyonu olan yalnız bir olgu mevcuttur (1). Duodenum yaralanmalarında erken tanı ve tedavinin mortalite ve morbiditeyi önemli ölçüde azalttığı bilinmektedir. Künt karın travması sonrasında da mide-duodenum yaralanmalarını olabileceği şüphesini taşımak bize erken tanı ve tedavi olanağı sağlayacaktır. Bu makale vasıtasıyla nadir görülabilecek olgumuzu sunmayı amaçladık.

🔖

Cite This Article

ÖZEMİR, İ. A., BÜYÜKER, F., GÜRBÜZ, B., YİĞİTBAŞI, R. (2010). Completely pyloroduodenal avulsion following blunt abdominal trauma: Case report. Şişli Etfal Hastanesi Tıp Bülteni, Cilt: 44 - Sayı: 2, 76–79. https://ajindex.com/articles/364107

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (19)

  1. Reischl M: Isolated complete duodenal avulsion at the pylorus after blunt trauma. Chirurg 2001; 72: 603-605
  2. Jurkovich GJ, Bulger EM: Duodenum and Pancreas. In: Moore EE, Feliciano DV, Mattox KL (eds) Trauma. 4th ed, New York, McGraw-Hill, 2003, s. 709-732
  3. Acosta J: Management of Specific Injuries, Injuries to the Duodenum. In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL (eds). Sabiston Textbook of Surgery. 18th ed, Philadelphia, Saunders-Elsevier, 2008, s. 505-506
  4. Levison MA, Petersen SR, Sheldon GF, and Trunkey DD: Duodenal trauma: Experience of a trauma center. J Trauma 1982; 24: 475-480
  5. Stone HH and Fabian TC: Managment of duodenal wounds. J Trauma 1979; 19: 334-339
  6. Northrup WF 3rd, and Simmons RL: Pancreatic trauma: A review. Surgery 1972; 71: 27-43
  7. Cogbill TH, Moore EE, Feliciano PV, et al: Conservative managment of duodenal trauma: a multicenter perspective. J Trauma 1990; 30: 1469-1475
  8. Karnaze GC, Sheedy PF 2nd, Stephens DH, et al: Computed tomgraphy in duodenal rupture due to blunt abdominal trauma. J Comput Asst Tomogr 1981; 5: 267-269
  9. Synder W 3rd, Weigelt J, Watkins W, et al: The surgical managment of duodenal trauma. Arch Surg 1980; 115: 422-429
  10. Moore EE, Cogbill TH, Malangoni MA, et al: Organ injury scaling, II: Pancreas, duodenum, small bowel, colon, and rectum. J Trauma 1990; 30: 1427-1429
  11. Mackersie RC: Pancreatic and duodenal injuries. In: JL Cameron(Editor). Current surgical therapy. 6th ed, Missouri, Mosby Inc, 1998, s. 929-934
  12. Martin TD, Feliciano DV, Mattox KL, and Jordan GL Jr.: Severe duodenal injuries: Treatment with pyloric exclusion and gastrojejunostomy. Arch Surg 1983; 118: 631-635
  13. Shorr RM, Greaney GC, and Donovan AJ: Injuries of duodenum. Am J Surg 1987; 154: 93-98
  14. Papachriston DN, and Fortner JG: Reconstruction of duodenal wall defekts with the use of a gastric “island” flap. Arch Surg 1977; 112: 199-200
  15. Stone HH and Garoni WJ: Experiences in the managment of duodenal wounds. South Med J 1966; 59: 864-867
  16. Mcllrath DC and Larson RH: Surgical managment of large perforations of the duodenum. Surg Clin North Am 1971; 51: 857-861
  17. Ivatury RR, Malhotra AK, Aboutanos MB, Duane TM: Duodenal Injuries: A Review. Eur J Trauma Emerg Surg 2007; 33: 231-237
  18. Girgin S, Gedik E, Yağmur Y, Uysal E, Baç B: Management of duodenal injury: our experience and the value of tube duodenostomy. Ulus Travma Acil Cerrahi Derg 2009; 15: 467-472
  19. Anderson CB, Weisz D, Rod