Delayed Primary Repair of Complex Duodenal Injury Associated to Multiorgan Failure Due to Blunt Abdominal Trauma
| Autor: | José Miguel Aceves-Ayala, Allan Josué Noriega-Velásquez, Alberto Briceño-Fuentes, Cesar Alberto Ortiz-Orozco, Pablo Francisco Rojas-Solís, Pedro Xavier Rivas-Quezada, Carlos Alfredo Bautista-López |
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| Jazyk: | angličtina |
| Rok vydání: | 2023 |
| Předmět: | |
| Zdroj: | The Surgery Journal, Vol 09, Iss 03, Pp e92-e96 (2023) |
| Druh dokumentu: | article |
| ISSN: | 2378-5128 2378-5136 |
| DOI: | 10.1055/s-0043-1774404 |
| Popis: | Duodenal injuries are rare and difficult to diagnose, with an incidence between 1 and 5% in cases of abdominal trauma. We present the case of a 30-year-old man who suffered a motorcycle collision presented with a 24-hour history of abdominal pain, peritoneal tenderness, and hemodynamic instability. Imaging studies show evidence of free fluid in the perihepatic, perisplenic, and pelvic space. An exploratory laparotomy was performed, finding a grade III duodenal, grade V jejunal, and grade II pancreatic injuries. The basis of surgical treatment being a primary anastomosis of duodenal and jejunal injuries, which allowed discharging him home 8 days after surgery and without any complications in his follow-up. |
| Databáze: | Directory of Open Access Journals |
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