International journal of surgery case reports · 2023
Case report emphasize pearls of duodenal perforation.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
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Luna-Álvarez Rubén Daniel, Navarro-Pimiento Diana Camila, Alarcón-Carvajal Yuber Fabián, Naranjo-Soler Angelica Johana
Аннотация
INTRODUCTION: Isolated duodenal perforation secondary to trauma is a rare abdominal surgical condition, with a questionable surgical approach depending on the case.
PRESENTATION OF CASE: This is a case report of a 27-year-old male patient who presented with a free perforation in the posterior wall of the third portion of the duodenal frame and secondary retropneumoperitoneum without injuring any contiguous organ, after a medium-impact blunt abdominal trauma during a soccer game.
DISCUSSION: A laparotomy was performed, followed by duodenorraphy with Connell-Mayo suture and Lambert suture using vascular prolene in two planes. A nasogastric tube was placed up to the jejunum, and a Jackson-Pratt drain was placed in close to the duodenum next to the sutures. During hospitalization was found a positive bacterial culture of the peritoneal fluid hence received antibiotics, without complication.
CONCLUSION: It is essential to make a timely diagnosis with its respective individualized surgical approach and it must be managed as an emergency surgical procedure.
PRESENTATION OF CASE: This is a case report of a 27-year-old male patient who presented with a free perforation in the posterior wall of the third portion of the duodenal frame and secondary retropneumoperitoneum without injuring any contiguous organ, after a medium-impact blunt abdominal trauma during a soccer game.
DISCUSSION: A laparotomy was performed, followed by duodenorraphy with Connell-Mayo suture and Lambert suture using vascular prolene in two planes. A nasogastric tube was placed up to the jejunum, and a Jackson-Pratt drain was placed in close to the duodenum next to the sutures. During hospitalization was found a positive bacterial culture of the peritoneal fluid hence received antibiotics, without complication.
CONCLUSION: It is essential to make a timely diagnosis with its respective individualized surgical approach and it must be managed as an emergency surgical procedure.