Traumatic duodenal transection at the level of the ampulla of Vater: sphincteroplasty as a technical adjunct to primary repair.
Complete transection of the second part of the duodenum occurred as an isolated internal injury in a 20 year old female involved in a motor vehicle accident. Her terminal bile duct lay in the free edge of the proximal transected duodenum. A sphincteroplasty effectively shifted the termination of her bile and pancreatic drainage away from the free edge of the transected duodenum, simplifying repair of the injury. This avoided the more complex alternatives of duct reimplantation or pancreaticoduodenal resection.
Harris
J P
JP
Storey
D W
DW
Grassby
J M
JM
May
J
J
D000063:Accidents, Traffic; D000328:Adult; D014670:Ampulla of Vater; D003135:Common Bile Duct / Q000601:surgery*; D004386:Duodenum / Q000293:injuries* / Q000601:surgery; D005260:Female; D006801:Humans; D012622:Seat Belts / Q000009:adverse effects; D014949:Wounds, Nonpenetrating / Q000601:surgery*