| CASE REPORT |
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| Year : 2014 | Volume
: 6
| Issue : 2 | Page : 67-69 |
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Duodenal transection without pancreatic injury following blunt abdominal trauma
Sanket Subhash Bankar, Vikas S Gosavi, Mohd Hamid
Department of General Surgery, Government Medical College, Miraj, India
Correspondence Address:
Sanket Subhash Bankar
Room No. 901, Golden Jubilee Building, Tata Memorial Hospital, Dr. E. Borges Road, Parel, Mumbai 12, Maharashtra
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/2006-8808.147264
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With the inventions of faster cars and even more faster motorbikes there is a worldwide increase in road traffic accidents, which has increased the incidence of blunt abdominal trauma but still duodenal injury following a blunt abdominal trauma is uncommon and can pose a formidable challenge to the surgeon and failure to manage it properly can result in devastating results. It may typically occur in isolation or with pancreatic injury. Here, we report a case of an isolated transection of the third part of the duodenum with normal pancreas following a blunt abdominal trauma. The initial clinical changes in isolated duodenal injury may be extremely subtle before life-threatening, peritonitis develops. Hence, a high index of suspicion, on the basis of mechanism of injury and physical examination is the key in early detection of duodenal injury especially in a rural hospital like ours where the facilities for computed tomography scan are not available. |
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