title: Abdominal wall defect with large duodenal disruption treated by a free tissue flap with a help of temporary expandable metallic stent.
abstract: Abdominal wall defect with large duodenal disruption after penetrating abdominal injury is a rare emergency situation that can result in life-threatening complications. We report on a 64-year-old man who had abdominal wall defect with large duodenal disruption after penetrating abdominal injury. The patient presented with intra-abdominal exsanguinating bleeding, duodenal disruption, and multiple small bowel perforation. The rarity of this complex injury and its initial presentation as a posttraumatic large duodenal disruption with abdominal wall defect warrant its description. The present case indicates that combining a free tissue flap with a covered expandable metallic stent can effectively and successfully repair an abdominal wall defect that is associated with a large duodenal disruption.
authors.affiliation: Department of Radiology, Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
authors.forename: Jung-Hoon
authors.initials: JH
authors.lastname: Park
authors.forename: Suk-Kyung
authors.initials: SK
authors.lastname: Hong
authors.forename: Ho-Young
authors.initials: HY
authors.lastname: Song
authors.forename: Eun Key
authors.initials: EK
authors.lastname: Kim
authors.forename: Sung Koo
authors.initials: SK
authors.lastname: Lee
authors.forename: Yooun Joong
authors.initials: YJ
authors.lastname: Jung
keywords: Abdominal injury; Abdominal wall; Duodenum; Free tissue flaps; Stents