Delayed presentation of blunt duodenal injuries in children. Case report and review of literature

Torba, M. and Giata, A. and Buci, S. and Troci, Albert and Subashi, K. (2013) Delayed presentation of blunt duodenal injuries in children. Case report and review of literature. Il giornale di chirurgia, 34 (4). pp. 122-124. ISSN 1971-145X

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Abstract

Background. Duodenal injuries are rare in children and classically present following a fall over the handle bar. Retroperitoneal location of the duodenum may lead to delay in diagnosis, and missed injuries are associated with increased morbidity and mortality. Case report. A 5-year-old child was admitted to the National Trauma Center, in Tirana (Albania), 28 hours after a Motor Vehicle Crash (MVC), complaining of mild abdominal pain. He was febrile (39°C) and had a white blood cells count of 18,000 mm3. On physical exam he had mild tenderness. Plain abdominal X-rays and Focused Abdominal Sonography for Trauma (FAST) were negative for free air or free fluid. The CT scan of the abdomen demonstrated free air and fluid in the retroperitoneal space. At laparatomy, a perforation of the second portion of the duodenum was found. A single layer suture repair of the duodenum with wide drainage was performed. The patient was discharged from the hospital tolerating oral feeding 8 days later. Conclusion. Duodenal injuries in children are rare. Most duodenal hematomas are managed non-operatively. This is a case of MCV with delayed presentation that was treated surgically for perforation successfully.

Item Type:	Article
Uncontrolled Keywords:	Duodenal injury, Motor vehicle crash, Retroperitoneal injuries, Children, Delayed presentation
Subjects:	600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 617 Rami vari della medicina; Chirurgia > 617.4 Chirurgia secondo il Sistema e Regioni
Depositing User:	Nadia Del Gobbo
Date Deposited:	27 Oct 2016 09:00
Last Modified:	27 Oct 2016 09:00
URI:	http://eprints.bice.rm.cnr.it/id/eprint/8405

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