Traumatic duodenal injury is a relatively rare surgical condition and remains as one of the most challenging problems to treat until now because of high morbidity and mortality. A retrospective analysis of 20 consecutive patients who sustained
traumatic
duodenal injury diagnosed by operation of radiologic examination during the 6 years from January, 1985 to Decomber, 1991 at department of surgery, Keimung University School of Medicine was reviewed.
The age incidence was variable but it occurred most frequntly 3rd & 4th decades and the sex incidence was 19: 1 in favor of male.
The majority of injury(90%) was blunt abdominal trauma
Nineteen patients(95%) underwent celiotomy and only 3 case(15%) had an isolated duodenal injury.
In terms of location of injured duodenum, 2nd portion was injured most frequently and followed by 3rd, lst and 4th in order of frequency.
The severity of injury was classified to the Lucas classification, and their surgical managements varied from simple drainage to combined pancreaticoduodenectomy.
The postoperative complications were pulmonary complications(4), wound infection(3), duodenal fistula (2), intraabdominal abscess (2), wound disruption (1) and stress ulcer bleeding (1), in order of frequency.
2 cases were died because of massive bleeding and sepsis with multiple organ failure.
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