Diagnosis and treatment of 34 cases of blunt duodenal injuries.
- Author:
Shi-ting BAO
1
;
San-ming WANG
Author Information
- Publication Type:Journal Article
- MeSH: Adolescent; Adult; Aged; Duodenum; injuries; Female; Humans; Male; Middle Aged; Retrospective Studies; Wounds, Nonpenetrating; diagnosis; surgery
- From: Chinese Journal of Traumatology 2007;10(3):177-179
- CountryChina
- Language:English
-
Abstract:
OBJECTIVETo summarize the experience on diagnosis and treatment of blunt duodenal injuries, and thus to improve the therapeutic skills.
METHODSClinical data of 34 cases of blunt duodenal injuries admitted to our hospital from 1990 to 2006 were retrospectively analyzed.
RESULTSAmong them, 28 cases were cured, 20 cases presented with complications, and 6 cases died. The causes of death were: duodenal or pancreatic fistula in 2 cases, intra-and retroperitoneal infection complicating septicopyemia in 2, disseminated intravascular coagulation in 1 and multiple organ failure in 1.
CONCLUSIONSMisdiagnosis and missed diagnosis predispose to happen for blunt duodenal injuries. Early recognition and surgical intervention are critical to a successful rescue.
