Tedoli M, Veraldi D, Interlandi G, Sforza F, Barbagiovanni R, Veraldi G F
Divisione di Chirurgia Generale, Ospedale di S. Bonifacio, Verona.
Minerva Chir. 1990 Nov;45(21-22):1393-7.
The authors describe a case of retroperitoneal rupture of the duodenum following blunt abdominal trauma. The aetiology, symptomatology of these lesions are discussed and treatment is stressed. Duodenal fistula continues to be a serious postoperative complication. Primary repair with drainage is the preferred treatment. Gastrostomy, internal decompression and feeding jejunostomy are usefully added in the most severe duodenal injuries.
作者描述了一例钝性腹部创伤后十二指肠腹膜后破裂的病例。讨论了这些损伤的病因、症状,并强调了治疗方法。十二指肠瘘仍然是一种严重的术后并发症。首选的治疗方法是引流的一期修复。在最严重的十二指肠损伤中,加做胃造口术、内减压和空肠造口术进行喂养是有效的。