A case of pediatric blunt traumatic duodenal perforation with retroperitoneal emphysema

DOI
  • Suginaka Hiroshi
    Department of Emergency Medicine, Toda Central General Hospital Department of Emergency Medicine, Juntendo University, Urayasu Hospital

Bibliographic Information

Other Title
  • 後腹膜気腫を呈した小児鈍的外傷性十二指腸穿孔の1例

Abstract

<p>A 12-year-old boy was injured in a soccer game. He had spontaneous pain in the epigastrium, but no rebound tenderness. Contrast-enhanced computed tomography (CT) showed only duodenal edematous wall thickening and a small amount of ascites in the rectovesical pouch. CT confirmed 14 hours later a new retroperitoneal emphysema, and 23 hours later, increased ascites. Emergency surgery was performed. A perforation was found in the duodenum. If duodenal perforation cannot be diagnosed by CT images in the early stage of injury, it is necessary to strictly manage with repeated follow-up CT so as not to miss the timing of surgery.</p>

Journal

Keywords

Details 詳細情報について

  • CRID
    1390018198838066304
  • DOI
    10.24697/jaamkanto.45.2_137
  • ISSN
    24342580
    0287301X
  • Text Lang
    ja
  • Data Source
    • JaLC
  • Abstract License Flag
    Disallowed

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