[Duodenal perforation after blunt abdominal trauma].
Duodenal perforation after a blunt abdominal trauma is a rare emergency situation that can result in life-threatening complications. We report on a woman who had a perforation of the duodenum after a supposed mild blunt abdominal trauma. Unremarkable at the initial presentation, the patient presented with acute abdominal pain and a retroperitoneal abscess five days after the initial trauma. The duodenal repair was performed with a Roux-Y anastomosis. Difficulties in diagnosis are very common, but the early recognition of the rupture is essential. The contrast-enhanced CT scan is the gold standard for diagnosis. Surgical management depends on the severity of the trauma and must be chosen on an individual basis.
Schneider
R
R
Universitätsklinikum, Klinik für Chirurgie II, Leipzig, Deutschland. Rick.Schneider@medizin.unileipzig.de
Moebius
C
C
Thelen
A
A
Jonas
S
S
D000006:Abdomen, Acute / Q000175:diagnosis / Q000601:surgery; D018784:Abdominal Abscess / Q000175:diagnosis / Q000601:surgery; D000007:Abdominal Injuries / Q000150:complications* / Q000601:surgery; D000713:Anastomosis, Roux-en-Y; D003937:Diagnosis, Differential; D004386:Duodenum / Q000293:injuries* / Q000601:surgery; D005260:Female; D006801:Humans; D007416:Intestinal Perforation / Q000175:diagnosis / Q000601:surgery*; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000628:therapy; D012187:Retroperitoneal Space / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014949:Wounds, Nonpenetrating / Q000150:complications* / Q000601:surgery