Duodenal rupture after blunt abdominal trauma by bicycle handlebar: Case report and literature review
Blunt abdominal trauma is most frequent in the pediatric population. Duodenal lesions after abdominal trauma in children are infrequent and tend to be secondary to traffic accidents. It is up to five times more frequent in males, with an average age between 16 and 30 years. Bicycle accidents continu...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2019-01-01
|
| Series: | Nigerian Journal of Surgery |
| Subjects: | |
| Online Access: | http://www.nigerianjsurg.com/article.asp?issn=1117-6806;year=2019;volume=25;issue=2;spage=213;epage=216;aulast= |
| _version_ | 1818261424780083200 |
|---|---|
| author | Fernando Mendoza-Moreno Isabel Furtado-Lobo Marina Perez-Gonzalez Maria Del Rocio Diez-Gago Carlos Medina-Reinoso Manuel Diez-Alonso Francisco Hernandez-Merlo Fernando Noguerales-Fraguas |
| author_facet | Fernando Mendoza-Moreno Isabel Furtado-Lobo Marina Perez-Gonzalez Maria Del Rocio Diez-Gago Carlos Medina-Reinoso Manuel Diez-Alonso Francisco Hernandez-Merlo Fernando Noguerales-Fraguas |
| author_sort | Fernando Mendoza-Moreno |
| collection | DOAJ |
| description | Blunt abdominal trauma is most frequent in the pediatric population. Duodenal lesions after abdominal trauma in children are infrequent and tend to be secondary to traffic accidents. It is up to five times more frequent in males, with an average age between 16 and 30 years. Bicycle accidents continue to lead to morbidity and mortality in children, representing between 5% and 14% of total blunt abdominal injuries. The diagnosis of duodenal injuries after trauma is difficult and requires a high index of clinical suspicion. We present the case of a 17-year-old patient seen in the emergency room after falling off his bicycle and presented a blunt trauma in the epigastric region. On physical examination, there was a swelling in the upper right abdominal quadrant and epigastrium with tenderness on deep palpation. He presented with hematemesis without hemodynamic repercussion. A contrast abdominal computed tomography was performed and he was diagnosed with third-part duodenal rupture. A resection of the perforated third-part duodenal rupture was performed, and the transit was reconstructed using a Roux-Y duodenojejunostomy. The postoperative period was uneventful and the patient was discharged after 16 days of stay.Duodenal injury is very rare, produced by high-energy trauma. They rarely present as single lesions as other visceral lesions are usually associated. The early diagnosis is important to reduce the morbidity and mortality. |
| first_indexed | 2024-12-12T18:47:01Z |
| format | Article |
| id | doaj.art-33776bf8d914475eb69317648af3af2b |
| institution | Directory Open Access Journal |
| issn | 1117-6806 |
| language | English |
| last_indexed | 2024-12-12T18:47:01Z |
| publishDate | 2019-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Nigerian Journal of Surgery |
| spelling | doaj.art-33776bf8d914475eb69317648af3af2b2022-12-22T00:15:28ZengWolters Kluwer Medknow PublicationsNigerian Journal of Surgery1117-68062019-01-0125221321610.4103/njs.NJS_31_18Duodenal rupture after blunt abdominal trauma by bicycle handlebar: Case report and literature reviewFernando Mendoza-MorenoIsabel Furtado-LoboMarina Perez-GonzalezMaria Del Rocio Diez-GagoCarlos Medina-ReinosoManuel Diez-AlonsoFrancisco Hernandez-MerloFernando Noguerales-FraguasBlunt abdominal trauma is most frequent in the pediatric population. Duodenal lesions after abdominal trauma in children are infrequent and tend to be secondary to traffic accidents. It is up to five times more frequent in males, with an average age between 16 and 30 years. Bicycle accidents continue to lead to morbidity and mortality in children, representing between 5% and 14% of total blunt abdominal injuries. The diagnosis of duodenal injuries after trauma is difficult and requires a high index of clinical suspicion. We present the case of a 17-year-old patient seen in the emergency room after falling off his bicycle and presented a blunt trauma in the epigastric region. On physical examination, there was a swelling in the upper right abdominal quadrant and epigastrium with tenderness on deep palpation. He presented with hematemesis without hemodynamic repercussion. A contrast abdominal computed tomography was performed and he was diagnosed with third-part duodenal rupture. A resection of the perforated third-part duodenal rupture was performed, and the transit was reconstructed using a Roux-Y duodenojejunostomy. The postoperative period was uneventful and the patient was discharged after 16 days of stay.Duodenal injury is very rare, produced by high-energy trauma. They rarely present as single lesions as other visceral lesions are usually associated. The early diagnosis is important to reduce the morbidity and mortality.http://www.nigerianjsurg.com/article.asp?issn=1117-6806;year=2019;volume=25;issue=2;spage=213;epage=216;aulast=Blunt abdominal traumaduodenal injuryhandlebar injury |
| spellingShingle | Fernando Mendoza-Moreno Isabel Furtado-Lobo Marina Perez-Gonzalez Maria Del Rocio Diez-Gago Carlos Medina-Reinoso Manuel Diez-Alonso Francisco Hernandez-Merlo Fernando Noguerales-Fraguas Duodenal rupture after blunt abdominal trauma by bicycle handlebar: Case report and literature review Nigerian Journal of Surgery Blunt abdominal trauma duodenal injury handlebar injury |
| title | Duodenal rupture after blunt abdominal trauma by bicycle handlebar: Case report and literature review |
| title_full | Duodenal rupture after blunt abdominal trauma by bicycle handlebar: Case report and literature review |
| title_fullStr | Duodenal rupture after blunt abdominal trauma by bicycle handlebar: Case report and literature review |
| title_full_unstemmed | Duodenal rupture after blunt abdominal trauma by bicycle handlebar: Case report and literature review |
| title_short | Duodenal rupture after blunt abdominal trauma by bicycle handlebar: Case report and literature review |
| title_sort | duodenal rupture after blunt abdominal trauma by bicycle handlebar case report and literature review |
| topic | Blunt abdominal trauma duodenal injury handlebar injury |
| url | http://www.nigerianjsurg.com/article.asp?issn=1117-6806;year=2019;volume=25;issue=2;spage=213;epage=216;aulast= |
| work_keys_str_mv | AT fernandomendozamoreno duodenalruptureafterbluntabdominaltraumabybicyclehandlebarcasereportandliteraturereview AT isabelfurtadolobo duodenalruptureafterbluntabdominaltraumabybicyclehandlebarcasereportandliteraturereview AT marinaperezgonzalez duodenalruptureafterbluntabdominaltraumabybicyclehandlebarcasereportandliteraturereview AT mariadelrociodiezgago duodenalruptureafterbluntabdominaltraumabybicyclehandlebarcasereportandliteraturereview AT carlosmedinareinoso duodenalruptureafterbluntabdominaltraumabybicyclehandlebarcasereportandliteraturereview AT manueldiezalonso duodenalruptureafterbluntabdominaltraumabybicyclehandlebarcasereportandliteraturereview AT franciscohernandezmerlo duodenalruptureafterbluntabdominaltraumabybicyclehandlebarcasereportandliteraturereview AT fernandonogueralesfraguas duodenalruptureafterbluntabdominaltraumabybicyclehandlebarcasereportandliteraturereview |