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...
Main Authors: | , , , , , , |
---|---|
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 |
_version_ | 1819029363120668672 |
---|---|
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. |
first_indexed | 2024-12-21T06:13:04Z |
format | Article |
id | doaj.art-8de70d2c9d514e179c9c292b23fc0425 |
institution | Directory Open Access Journal |
issn | 1319-3767 1998-4049 |
language | English |
last_indexed | 2024-12-21T06:13:04Z |
publishDate | 2011-01-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | The Saudi Journal of Gastroenterology |
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 |