Retrospective analysis of duodenal injuries: A comprehensive overview

Background/Aim: Duodenal injury is an uncommon finding, accounting for about about 3 - 5% of abdominal trauma, mainly resulting from both penetrating and blunt trauma, and is associated with significant mortality (6 - 25%) and morbidity (30 - 60%). Patients and Methods : Retrospective analysis was p...

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Main Authors: Sanjay Pandey, Ashutosh Niranjan, Shashank Mishra, Tarun Agrawal, Basant M Singhal, Akhil Prakash, Prakash C Attri
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2011-01-01
Series:The Saudi Journal of Gastroenterology
Subjects:
Online Access:http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2011;volume=17;issue=2;spage=142;epage=144;aulast=Pandey
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author Sanjay Pandey
Ashutosh Niranjan
Shashank Mishra
Tarun Agrawal
Basant M Singhal
Akhil Prakash
Prakash C Attri
author_facet Sanjay Pandey
Ashutosh Niranjan
Shashank Mishra
Tarun Agrawal
Basant M Singhal
Akhil Prakash
Prakash C Attri
author_sort Sanjay Pandey
collection DOAJ
description Background/Aim: Duodenal injury is an uncommon finding, accounting for about about 3 - 5% of abdominal trauma, mainly resulting from both penetrating and blunt trauma, and is associated with significant mortality (6 - 25%) and morbidity (30 - 60%). Patients and Methods : Retrospective analysis was performed in terms of presentation, management, morbidity and mortality on 14 patients of duodenal injuries out of a total of 172 patients of abdominal trauma attending Subharti Medical College. Results: Epigastric pain (100%) along with vomiting (100%) is the usual presentation of duodenal injuries in blunt abdominal trauma, especially to the upper abdomen. Computed tomography (CT) was diagnostic in all cases. Isolated duodenal injury is a rare finding and the second part is mostly affected. Conclusion: Duodenal injury should always be suspected in blunt upper abdominal trauma, especially in those presenting with epigastric pain and vomiting. Investigation by CT and early surgical intervention in these patients are valuable tools to reduce the morbidity and mortality.
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spelling doaj.art-8de70d2c9d514e179c9c292b23fc04252022-12-21T19:13:29ZengWolters Kluwer Medknow PublicationsThe Saudi Journal of Gastroenterology1319-37671998-40492011-01-0117214214410.4103/1319-3767.77247Retrospective analysis of duodenal injuries: A comprehensive overviewSanjay PandeyAshutosh NiranjanShashank MishraTarun AgrawalBasant M SinghalAkhil PrakashPrakash C AttriBackground/Aim: Duodenal injury is an uncommon finding, accounting for about about 3 - 5% of abdominal trauma, mainly resulting from both penetrating and blunt trauma, and is associated with significant mortality (6 - 25%) and morbidity (30 - 60%). Patients and Methods : Retrospective analysis was performed in terms of presentation, management, morbidity and mortality on 14 patients of duodenal injuries out of a total of 172 patients of abdominal trauma attending Subharti Medical College. Results: Epigastric pain (100%) along with vomiting (100%) is the usual presentation of duodenal injuries in blunt abdominal trauma, especially to the upper abdomen. Computed tomography (CT) was diagnostic in all cases. Isolated duodenal injury is a rare finding and the second part is mostly affected. Conclusion: Duodenal injury should always be suspected in blunt upper abdominal trauma, especially in those presenting with epigastric pain and vomiting. Investigation by CT and early surgical intervention in these patients are valuable tools to reduce the morbidity and mortality.http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2011;volume=17;issue=2;spage=142;epage=144;aulast=PandeyBlunt trauma abdomenduodenal injurypancreatico-duodenal injury
spellingShingle Sanjay Pandey
Ashutosh Niranjan
Shashank Mishra
Tarun Agrawal
Basant M Singhal
Akhil Prakash
Prakash C Attri
Retrospective analysis of duodenal injuries: A comprehensive overview
The Saudi Journal of Gastroenterology
Blunt trauma abdomen
duodenal injury
pancreatico-duodenal injury
title Retrospective analysis of duodenal injuries: A comprehensive overview
title_full Retrospective analysis of duodenal injuries: A comprehensive overview
title_fullStr Retrospective analysis of duodenal injuries: A comprehensive overview
title_full_unstemmed Retrospective analysis of duodenal injuries: A comprehensive overview
title_short Retrospective analysis of duodenal injuries: A comprehensive overview
title_sort retrospective analysis of duodenal injuries a comprehensive overview
topic Blunt trauma abdomen
duodenal injury
pancreatico-duodenal injury
url http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2011;volume=17;issue=2;spage=142;epage=144;aulast=Pandey
work_keys_str_mv AT sanjaypandey retrospectiveanalysisofduodenalinjuriesacomprehensiveoverview
AT ashutoshniranjan retrospectiveanalysisofduodenalinjuriesacomprehensiveoverview
AT shashankmishra retrospectiveanalysisofduodenalinjuriesacomprehensiveoverview
AT tarunagrawal retrospectiveanalysisofduodenalinjuriesacomprehensiveoverview
AT basantmsinghal retrospectiveanalysisofduodenalinjuriesacomprehensiveoverview
AT akhilprakash retrospectiveanalysisofduodenalinjuriesacomprehensiveoverview
AT prakashcattri retrospectiveanalysisofduodenalinjuriesacomprehensiveoverview