title: Rupture of the duodenum with avulsion of the papilla of Vater due to blunt trauma in a child, and review of the literature.
abstract: Duodenal rupture with avulsion of the papilla of Vater is an uncommon injury due to blunt abdominal trauma in children. This report describes a 9-year-old boy who sustained this injury and was treated successfully two days delayed by a Roux-en-Y choledocho-pancreaticojejunostomy and temporary implantation of a zipper for abdominal wall closure. The rarity of this complex injury and its initial presentation as a posttraumatic pancreatitis warrant its description. A review of the literature, modes of diagnosis and surgical technique for repair are described.
authors.affiliation: Department of Pediatric Surgery, University of Graz, Austria.
authors.forename: G
authors.initials: G
authors.lastname: Schimpl
authors.forename: H
authors.initials: H
authors.lastname: Sauer
authors.forename: P H
authors.initials: PH
authors.lastname: Schober
authors.forename: G
authors.initials: G
authors.lastname: Weber
mesh_terms: D000007:Abdominal Injuries / Q000150:complications*; D014670:Ampulla of Vater / Q000293:injuries* / Q000601:surgery; D000713:Anastomosis, Roux-en-Y; D002648:Child; D002768:Choledochostomy; D003288:Contusions; D004386:Duodenum / Q000293:injuries* / Q000601:surgery; D006801:Humans; D008297:Male; D010179:Pancreas / Q000293:injuries; D012421:Rupture; D014949:Wounds, Nonpenetrating / Q000150:complications*