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PNEUMORETROPERITONEUM DUE TO TRAUMATIC DUODE-NAL PERFORATION;

Year 2013, Volume: 6 Issue: 1, 23 - 27, 01.03.2013

Abstract

Duodenal perforation following blunt trauma to abdomen is a rare clinical entity and isolated injury to duodenum is rarer. Symptoms are usually insidious and non specific, so only a high degree of clinical suspicion would lead to appropriate imaging study and management. CT scan was invaluable in diagnosing the site, extent and nature of lesion. On initial inspection of peritoneal cavity no abnormality was obvious. After ample mobilisation of duodenum, a perforation was found on the lateral wall of the junction of 2nd and 3rd part of duodenum which was leaking bile abundantly. Diversion of contents by duodenojejunostomy and drainage, feeding jejunostomy was made on the perforation site, and augmented by post operative parenteral nutrition were the key points of management. We present a case of isolated duodenal perforation with pneumoretroperitoneum and abscess that presented with symptoms of fever and generalised abdominal pain.

Travmatik duodenum perforasyonuna bağlı pnömoretroperiton

Year 2013, Volume: 6 Issue: 1, 23 - 27, 01.03.2013

Abstract

Künt travmayı takiben gelişen izole duodenum perforasyonu nadir rastlanan bir durumdur. Klinik belirtiler nonspesifik ve rastlantısaldır. Tanısal radyolojik görüntüleme tedavi yaklaşımları için öncelikle perforasyondan şüphelenilmesi gerekmektedir. Bilgisayarlı tomografi lezyonun yeri, sebebi ve natürü hakkında yeterli bilgi vermedi. Yapılan laparotomide ilk bakışta bir anormallik gözükmüyordu. Duodenal ampullanın mobilizasyonu sonrasında duodenum 2. ve 3. parçalar arasında perforasyon saptandı ve buradan safranın retroperitona sızdığı ve apse oluşturduğu saptandı. Duodenojejunostomi, drenaj, feding jejunostomi ile postoperatif parenteral nutrisyon tedavinin temelini oluşturdu. Burada yüksek ateş ve şiddetli karın ağrısı şikayeti ile gelen, izole duodenum perforasyonu ve apse saptanan bir olgu sunulmuştur.

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Details

Other ID JA27NU43BF
Journal Section Research Article
Authors

Jitendra Ray This is me

Prashant Kumar Singh This is me

Shantanu Kumar Sahu This is me

Praveendra Kumar Sachan This is me

Publication Date March 1, 2013
Submission Date March 1, 2013
Published in Issue Year 2013 Volume: 6 Issue: 1

Cite

Vancouver Ray J, Singh PK, Sahu SK, Sachan PK. PNEUMORETROPERITONEUM DUE TO TRAUMATIC DUODE-NAL PERFORATION;. JSurgArts. 2013;6(1):23-7.

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