title: Duodenal disruption diagnosed 5 days after blunt trauma in a 2-year-old child: report of a case.
abstract: Blunt duodenal injury in children is uncommon and diagnosis is often delayed because of its retroperitoneal location. Both diagnosis and treatment are difficult. We report the case of a 2-year-old boy whose trauma injury was not reported for 5 days. His vital signs were stable, but he was vomiting bile-stained fluid and his stools were white. The third portion of the duodenum was completely disrupted, and was repaired by pyloric exclusion with duodenal and bile duct drainage. The child recovered uneventfully. We discuss the diagnostic strategies and therapeutic measures for this type of injury.
authors.affiliation: Osaka Prefectural Senshu Critical Care Medical Center, 2-24 Rinku Orai-kita, Izumisano, Osaka 598-0048, Japan.
authors.forename: Akinori
authors.initials: A
authors.lastname: Osuka
authors.forename: Koji
authors.initials: K
authors.lastname: Idoguchi
authors.forename: Takashi
authors.initials: T
authors.lastname: Muguruma
authors.forename: Kazuo
authors.initials: K
authors.lastname: Ishikawa
authors.forename: Yasuaki
authors.initials: Y
authors.lastname: Mizushima
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Matsuoka
mesh_terms: D000007:Abdominal Injuries / Q000175:diagnosis* / Q000601:surgery; D002675:Child, Preschool; D004385:Duodenostomy / Q000379:methods*; D004386:Duodenum / Q000293:injuries* / Q000601:surgery; D005500:Follow-Up Studies; D015390:Gastric Bypass / Q000379:methods*; D006801:Humans; D008297:Male; D012421:Rupture; D014057:Tomography, X-Ray Computed; D015599:Trauma Severity Indices; D014949:Wounds, Nonpenetrating / Q000175:diagnosis* / Q000601:surgery