Traumatic duodenal necrosis with avulsion of Vater's papilla in a child.
Blunt duodenal trauma with avulsion of the papilla of Vater is an extremely uncommon injury in children. The usual management of these injuries relies on complex reconstructive procedures and bypasses. We report the case of a 6-year-old girl with near total traumatic duodenal necrosis and avulsion of Vater's papilla managed by a simple physiological montage avoiding pancreatic resections and gastrointestinal bypasses.
Khelif
Karim
K
Department of Surgery, University Children's Hospital Queen Fabiola, 1020 Brussels, Belgium. karim.khelif@huderf.be
De Laet
Marc-Henri
MH
D000007:Abdominal Injuries; D000063:Accidents, Traffic; D014670:Ampulla of Vater / Q000293:injuries / Q000601:surgery*; D002648:Child; D013505:Digestive System Surgical Procedures / Q000379:methods*; D004386:Duodenum / Q000098:blood supply / Q000293:injuries* / Q000473:pathology; D005260:Female; D006801:Humans; D009336:Necrosis; D012092:Replantation; D014949:Wounds, Nonpenetrating