title: [Clinical analysis of missed diagnosis of duodenal injury in 9 cases].
abstract: To study the reasons and possibly solutions for missed diagnosis of duodenal injury. METHOD The clinical records were retrospectively analyzed in 9 cases of missed diagnosis of duodenal injury treated in our hospital in the year 1992 to 2002. RESULTS Of the 15 cases of duodenal injury, missed diagnoses occurred in 9 cases. The reasons for the missed diagnoses included complications by injuries of the other abdominal organs that concealed duodenal injuries, neglect of the light injuries, and the lack of clinical experience on the part of the young doctors. CONCLUSION Duodenal injury frequently occurs along with other abdominal organ injuries and is easy to escape detection, which can be avoided by careful preoperative examination of the characteristics of injuries and the patients' clinical manifestations after the injury.
authors.affiliation: Department of Abdominal Surgery, First People's Hospital of Guangzhou, Guangzhou 510180, China. dwx@medmail.com.cn
authors.forename: Wei-xiong
authors.initials: WX
authors.lastname: Deng
authors.forename: Yi-qun
authors.initials: YQ
authors.lastname: Ge
authors.forename: Nian-wei
authors.initials: NW
authors.lastname: Zhang
authors.forename: Dong-dong
authors.initials: DD
authors.lastname: Wen
mesh_terms: D000293:Adolescent; D000328:Adult; D004386:Duodenum / Q000293:injuries* / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged