|
KMID : 0371319840270060681
|
|
Journal of the Korean Surgical Society
1984 Volume.27 No. 6 p.681 ~ p.686
|
|
|
Duodenal Injury duo to the Abdominal Trauma
|
|
김욱/Kim, Wook
신석우/김승남/이재학/Shin, Suk Woo/Kim, Seung Nam/Lee, Jai Hak
|
|
|
Abstract
|
|
|
Duodenal injury due to the abdominal trauma is a serious problem and is still associated with a high mortality and morbidity in spite of improvement of surgical techniques. Injuries of the duodenum are relatively uncommon in account of the organ´s size and position.
Since most of it is retroperitoneal, lesions involving it rise to such subtle physical and radiological signs that the diagnosis is often overlooked in the early phase after injury.
Because the preoperative diagnosis is difficult, careful intraoperative examination of the entire duodenum is mandatory.
The authors have experienced 20 cases of duodenal injury during past 10 years. The following results were obtained.
1) All was male and the majority of cases were 3rd decades.
2) Traffic accident was the main cause of injury; 13 cases (65%). 3) The cases operated with in 12hours were 15 cases (75 %).
4) The 3rd. portion of the duodenum was most vulnerable; 11 cases (55%).
5) The perforation occurred through the retroperitoneal space 16cases (80%).
6) The clinical symptoms were upper abdominal pain, nausea, vomiting, and abdominal
distension.
7) Associated injuries included, in order of frequency, pancreas; 5 cases, mesentery; 5 cases, liver; 3 cases, small intestine; 3 cases, stomach; 2 cases, common bile duct; 2 causes, kidney; 2 cases, spleen; 2 cases, lumbar spine; 1 case and colon; I case.
8) Postoperative complication included, in frequency, wound infection; 4 cases, sepsis; 3 cases, duodenal fistula; 2 cases, intra-abdominal abscess; 2 cases, pancreatic fistula; 1 case and pancreatitis; I case.
9) The modes of operation were simple closure; 10 cases, duodenojejunostomy; 8 cases, pancreaticoduodenectomy; 1 case, duodenal diverticulization; 1 case.
10) The causes of death were sepsis and hemorrhagic shock.
|
|
|
KEYWORD
|
|
|
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
  
|
|