title: [Traumatic duodenal rupture].
abstract: Traumatic duodenal perforation has an incidence of 1%-17% (blunt injury) or 1.7%-5% (penetrating injury). Its prognosis correlates to the kind of injury, associated injuries, size of perforation and delayed diagnosis. Mortality in cases of delayed repair is 65% compared with 5% mortality in early repaired perforation. In cases of delayed diagnosis, we recommend drainage of the perforation, naso-duodenal suction tube, parenteral alimentation. 5 patients where diagnosis was delayed for 8 days or longer were treated in this way and the duodenal wound healed completely without any complications within 22-44 days.
mesh_terms: D004322:Drainage; D004386:Duodenum / Q000293:injuries*; D006801:Humans; D007416:Intestinal Perforation / Q000601:surgery; D011183:Postoperative Complications / Q000601:surgery; D011379:Prognosis; D012086:Reoperation; D012421:Rupture; D014949:Wounds, Nonpenetrating / Q000601:surgery; D014950:Wounds, Penetrating / Q000601:surgery
vernacular_title: Die traumatische Duodenalruptur.