Traumatic injuries of the duodenum
Keywords:
duodenum, trauamatisms, injuriesAbstract
Eighteen cases of traumatic injuries of the. duodenum are discussed. They correspond to a 13-year period in the Emergency Department of the Hospital de Clínicas. This report shows that these lesions have evidently increased in the last few years, due to factors
which are considered in the discussion. It is remarked how exceptionally pancreatic association was present in this series ( 1 case: 5 % ) . Preoperative diagnosis
is difficult, due to severa! circumstances mentioned; it was never done in the cases under consideration. Tbe mechanism, anatomo-clinical types and the therapy
used in each case are discussed, insisting upan the severity of the associated lesions and upan the need of a correct surgical exploration .of the abdomen.
In 16 cases, a simple closing of the lesion was performed. Evolution was satisfactory in the same percentage of cases. Seventy-two per cent of the patients underw ent
post-operative complications: 27 % of them required anuther surgery. Two patients (11 % ) died: one due to puJmonary embolism and another because of associated
lesions. In both cases the duodenal suture, controllec by necropsy, was in good condition.
Downloads
Metrics
Downloads
Published
How to Cite
Issue
Section
License
All articles, videos and images published in Revista Cirugía del Uruguay are under the Creative Commons CC licenses, which is a complement to the traditional copyright, in the following terms: first, the authorship of the referred document must always be acknowledged and secondly none of the article or work published in the journal may have commercial purposes of any nature. The authors retain their copyrights and give the magazine the right of first publication of their work, which will be simultaneously subject to the Creative Commons Attribution-NonCommercial 4.0 International License license that allows the work to be shared whenever the initial publication is indicated in this journal.
