Diagnosis and treatment of 34 cases of blunt duodenal injuries.
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.
Bao
Shi-ting
ST
Department of Hepatobiliary Surgery, Affiliated Hospital of Guangdong Medical College, Zhanjiang, Guangdong Province 524001, China. bst1967@sohu.com
Wang
San-ming
SM
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