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KMID : 0371320130850050240
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Journal of the Korean Surgical Society
2013 Volume.85 No. 5 p.240 ~ p.243
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Abdominal wall defect with large duodenal disruption treated by a free tissue flap with a help of temporary expandable metallic stent
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Park Jung-Hoon
Hong Suk-Kyung
Song Ho-Young
Kim Eun-Key
Lee Sung-Koo
Jung Yooun-Joong
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Abstract
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Abdominal wall defect with large duodenal disruption after penetrating abdominal injury is a rare emergency situation that can result in life-threatening complications. We report on a 64-year-old man who had abdominal wall defect with large duodenal disruption after penetrating abdominal injury. The patient presented with intra-abdominal exsanguinating bleeding, duodenal disruption, and multiple small bowel perforation. The rarity of this complex injury and its initial presentation as a posttraumatic large duodenal disruption with abdominal wall defect warrant its description. The present case indicates that combining a free tissue flap with a covered expandable metallic stent can effectively and successfully repair an abdominal wall defect that is associated with a large duodenal disruption.
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KEYWORD
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Stents, Abdominal wall, Duodenum, Abdominal injury, Free tissue flaps
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