title: Diagnosis and treatment of 34 cases of blunt duodenal injuries.
abstract: OBJECTIVE
  To summarize the experience on diagnosis and treatment of blunt duodenal injuries, and thus to improve the therapeutic skills.
  
  
  METHODS
  Clinical data of 34 cases of blunt duodenal injuries admitted to our hospital from 1990 to 2006 were retrospectively analyzed.
  
  
  RESULTS
  Among them, 28 cases were cured, 20 cases presented with complications, and 6 cases died. The causes of death were: duodenal or pancreatic fistula in 2 cases, intra-and retroperitoneal infection complicating septicopyemia in 2, disseminated intravascular coagulation in 1 and multiple organ failure in 1.
  
  
  CONCLUSIONS
  Misdiagnosis and missed diagnosis predispose to happen for blunt duodenal injuries. Early recognition and surgical intervention are critical to a successful rescue.
authors.affiliation: Department of Hepatobiliary Surgery, Affiliated Hospital of Guangdong Medical College, Zhanjiang, Guangdong Province 524001, China. bst1967@sohu.com
authors.forename: Shi-ting
authors.initials: ST
authors.lastname: Bao
authors.forename: San-ming
authors.initials: SM
authors.lastname: Wang
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D004386:Duodenum / Q000293:injuries*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D014949:Wounds, Nonpenetrating / Q000175:diagnosis* / Q000601:surgery