Abdominal wall defect with large duodenal disruption treated by a free tissue flap with a help of temporary expandable metallic stent.
10.4174/jkss.2013.85.5.240
- Author:
Jung Hoon PARK
1
;
Suk Kyung HONG
;
Ho Young SONG
;
Eun Key KIM
;
Sung Koo LEE
;
Yooun Joong JUNG
Author Information
1. Department of Radiology, Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Stents;
Abdominal wall;
Duodenum;
Abdominal injury;
Free tissue flaps
- MeSH:
Abdominal Injuries;
Abdominal Wall*;
Duodenum;
Emergencies;
Free Tissue Flaps*;
Hemorrhage;
Humans;
Middle Aged;
Stents*
- From:Journal of the Korean Surgical Society
2013;85(5):240-243
- CountryRepublic of Korea
- Language:English
-
Abstract:
Abdominal wall defect with large duodenal disruption after penetrating abdominal injury is a rare emergency situation that can result in life-threatening complications. We report on a 64-year-old man who had abdominal wall defect with large duodenal disruption after penetrating abdominal injury. The patient presented with intra-abdominal exsanguinating bleeding, duodenal disruption, and multiple small bowel perforation. The rarity of this complex injury and its initial presentation as a posttraumatic large duodenal disruption with abdominal wall defect warrant its description. The present case indicates that combining a free tissue flap with a covered expandable metallic stent can effectively and successfully repair an abdominal wall defect that is associated with a large duodenal disruption.
