Metcalfe Matthew J, Rashid Tanwir G, Bird Richard le R
Department of Surgery, Barnet Hospital, Barnet and Chase Farm NHS Trust, Wellhouse Lane, Barnet Herts EN5 3DJ, UK.
J Emerg Trauma Shock. 2010 Jan;3(1):79-81. doi: 10.4103/0974-2700.58656.
Only 10% of duodenal diverticula are symptomatic. We present the case of a man who fell from a height of 6 ft, landing on his abdomen and presenting 4 h later with severe back pain and a rigid abdomen. At laparotomy, a perforated retroperitoneal duodenal diverticulum was found and repaired with an omental patch. No other injury was noted. Not only is this perforation unusual, but the absence of other injuries sustained during this minor blunt trauma makes this case unique. This case highlights the need for a high index of suspicion when managing patients with back or abdominal pain following minor trauma.
仅10%的十二指肠憩室有症状。我们报告一例患者，该男子从6英尺高处坠落，腹部着地，4小时后出现严重背痛和腹部僵硬。剖腹探查时，发现一个腹膜后十二指肠憩室穿孔，并用网膜补片进行了修补。未发现其他损伤。这种穿孔不仅不常见，而且在这种轻微钝性创伤中未出现其他损伤，使得该病例很独特。该病例强调，在处理轻微创伤后出现背痛或腹痛的患者时，需要高度怀疑。
