Use of a controlled duodenal fistula in the management of a major duodenal injury.
The management of a major duodenal injury associated with gross peritoneal contamination caused by multiple colonic perforations is reported. Resection of devitalized duodenum with creation of a controlled duodenal fistula, a jejunostomy and three colostomies, together with subsequent reconstruction, led to a successful outcome.
Simpson
R
R
Martin
R
R
D002408:Catheters, Indwelling; D003125:Colostomy; D004386:Duodenum / Q000293:injuries* / Q000601:surgery; D006801:Humans; D007412:Intestinal Fistula; D007583:Jejunum / Q000601:surgery; D007813:Laparotomy; D008297:Male; D008875:Middle Aged