外傷性十二指腸損傷３例の治療検討

DOI 被引用文献1件 参考文献7件

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  • Three Case Report of Traumatic Duodenal Injury

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We report three duodenal injuries caused by abdominal blunt trauma as a result of traffic accidents. In all cases laparotomy was performed under diagnosis of intestinal rupture and intra-abdominal hemorrhage. In the first case the third portion of the duodenum was transected and end-to-side duodenojejunostomy was performed with the EEA instrument. In the second case there were three small perforations at the third portion of the duodenum and all wounds were closed with simple sutures, and external biliary drainage, gastrostomy, and catheter jejunostomy was performed to drain the duodenal contents. In the last case, the third portion of the duodenum was injured diffusely with digestive juice in the retroperitoneal space and perforations. A gastrostomy and catheter jejunostomy was performed to drain the duodenal contents. In each case, the postoperative course showed no serious complications. Early diagnosis, and appropriate surgery including thorough drainage are essential in the treatment of duodenal injury.

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