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KMID : 0371320090770040282
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Journal of the Korean Surgical Society
2009 Volume.77 No. 4 p.282 ~ p.286
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Multilevel Duodenal Injury after Blunt Trauma
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Han Jeong-Hee
Hong Sung-Il
Kim Hae-Sung
Ryu Byoung-Yoon
Kim Hong-Ki
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Abstract
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Duodenal trauma is an uncommon injury associated with significant mortality and morbidity. Upper gastrointestinal radiological studies and computed tomography may lead to the diagnosis of blunt duodenal trauma. Exploratory laparotomy remains as the ultimate diagnostic test if a high suspicion of duodenal injury continues even in the face of absent or equivocal radiographic signs. The majority of duodenal injuries may be managed by simple repair of the injured site. More complicated injuries require more sophisticated techniques. Here, we report a case of multilevel blunt duodenal injury successfully managed with duodenal diverticulization, Roux-en-Y gastrojejunostomy and catheter duodenostomy.
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KEYWORD
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Duodenal injury, Duodenal diverticulization, Roux-en-Y gastrojejunostomy
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