THREE CASES OF BLUNT TRAUMATIC DUODENAL PERFORATION IN CHILDHOOD

  • NASU Toru
    Department of Emergency and Critical Care Medicine, Wakayama Medical University, School of Medicine
  • UEDA Kentaro
    Department of Emergency and Critical Care Medicine, Wakayama Medical University, School of Medicine
  • KAWAZOE Yu
    Department of Emergency Medicine, Tohoku University, School of Medicine
  • IWASAKI Yasuhiro
    Department of Emergency and Critical Care Medicine, Wakayama Medical University, School of Medicine
  • KAWASHIMA Shuji
    Department of Emergency and Critical Care Medicine, Wakayama Medical University, School of Medicine
  • OKISHIO Yuko
    Department of Emergency and Critical Care Medicine, Wakayama Medical University, School of Medicine
  • KUNITATSU Kosei
    Department of Emergency and Critical Care Medicine, Wakayama Medical University, School of Medicine
  • KATO Seiya
    Department of Emergency and Critical Care Medicine, Wakayama Medical University, School of Medicine

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Other Title
  • 小児鈍的外傷性十二指腸穿孔の3例と画像診断のタイミング

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Abstract

<p>  Duodenal injury in patients with abdominal trauma is relatively rare. We present three cases of pediatric traumatic duodenal perforation, with a review of the literature. Patient 1 was a 10-year-old girl who developed a bruise on the upper abdominal region due to a seat belt injury. Patient 2 was a 14-year-old boy who developed a bruise on the right lateral abdominal region following a roundhouse kick during a karate match. When these patients arrived at the emergency clinic, their vital signs were stable, but abdominal pain and peritoneal signs were noted. Abdominal CT revealed retroperitoneal fluid collection. The next day, an additional CT scan revealed free air around the duodenum. Patient 3 was a 14-year-old boy who developed a bruise on the right lateral abdominal region after being hit during a karate match. Abdominal CT revealed the presence of free air and intra-abdominal ascites.</p>

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