Journal of Surgical Technique and Case Report
Journal of Surgical Technique and Case Report
Year : 2014  |  Volume : 6  |  Issue : 2  |  Page : 67-69

Duodenal transection without pancreatic injury following blunt abdominal trauma

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
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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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