Open AccessIsolated perforation of fourth part of Duodenum following Blunt Abdominal Trauma
Author(s) -
Prabir Maharjan,
Shiv Vansh Bharti,
Digbijay Bikram Khadka,
Anup Karki,
Arun Gnyawali
Publication year - 2022
Publication title -
jngmc
Language(s) - English
Resource type - Journals
eISSN - 2362-1206
pISSN - 2362-1192
DOI - 10.3126/jngmc.v19i1.40442
Subject(s) - medicine , exploratory laparotomy , abdominal trauma , blunt , surgery , duodenum , abdomen , pelvis , perforation , blunt trauma , laparotomy , radiology , punching , materials science , metallurgy
Isolated duodenal injuries are rare in blunt abdominal trauma. These present a significant challenge for management because of the associated injuries and its difficult anatomical accessibility.
Case presentation: A 20years male presented to the Emergency department following a bike accident sustaining injury over face, chest and abdomen, 6hours after the incident. His vitals were unstable so he was resuscitated and admitted in Intensive Care Unit. He had generalized abdominal tenderness without rigidity. Contrast enhanced computed tomography of abdomen and pelvis was suggestive of hollow viscus perforation. He underwent exploratory laparotomy and primary repair for isolated perforation at fourth part of duodenum. He was discharged on his ninth postoperative day.
Conclusion: Rare injuries following blunt abdominal trauma should be considered and early intervention is necessary.