Retroperitoneal laparostomy as an effective emergency treatment of abscess and multiple organ failure after blunt duodenal trauma: report of a case.
Retroperitoneal abscess with multiple organ failure, after traumatic duodenal rupture followed by dehiscence of duodenal sutures, is a condition associated with a very high mortality. We report on a case treated by retroperitoneal laparostomy, a technique proposed as treatment for pancreatic abscess after an acute necrotizing pancreatitis. The retroperitoneal laparostomy creates a wide open cavity in a gravity-favorable position, allowing drainage and daily debridement of necrotic collections.
Gui
D
D
Department of Surgery, Università Cattolica del Sacro Cuore, Rome, Italy.
Azaretto
M
M
Sganga
G
G
D000038:Abscess / Q000209:etiology / Q000601:surgery*; D000328:Adult; D003646:Debridement; D004322:Drainage; D004386:Duodenum / Q000293:injuries*; D006801:Humans; D007813:Laparotomy; D008297:Male; D009102:Multiple Organ Failure / Q000209:etiology / Q000601:surgery*; D012187:Retroperitoneal Space; D014057:Tomography, X-Ray Computed; D014949:Wounds, Nonpenetrating / Q000150:complications* / Q000000981:diagnostic imaging