Department of Surgery, Subharti Medical College, Meerut, India.
Saudi J Gastroenterol. 2011 Mar-Apr;17(2):142-4. doi: 10.4103/1319-3767.77247.
BACKGROUND/AIM: Duodenal injury is an uncommon finding, accounting for about about 3-5% of abdominal trauma, mainly resulting from both penetrating and blunt trauma, and is associated with significant mortality (6-25%) and morbidity (30-60%).
Retrospective analysis was performed in terms of presentation, management, morbidity and mortality on 14 patients of duodenal injuries out of a total of 172 patients of abdominal trauma attending Subharti Medical College.
Epigastric pain (100%) along with vomiting (100%) is the usual presentation of duodenal injuries in blunt abdominal trauma, especially to the upper abdomen. Computed tomography (CT) was diagnostic in all cases. Isolated duodenal injury is a rare finding and the second part is mostly affected.
Duodenal injury should always be suspected in blunt upper abdominal trauma, especially in those presenting with epigastric pain and vomiting. Investigation by CT and early surgical intervention in these patients are valuable tools to reduce the morbidity and mortality.
背景/目的：十二指肠损伤是一种罕见的发现，约占腹部创伤的 3-5%，主要由穿透性和钝性创伤引起，与显著的死亡率（6-25%）和发病率（30-60%）相关。
回顾性分析了 172 例腹部创伤患者中的 14 例十二指肠损伤患者的表现、处理、发病率和死亡率，这些患者均来自 Subharti 医学院。
钝性腹部创伤中，上腹痛（100%）和呕吐（100%）是十二指肠损伤的常见表现，尤其是在上腹部。在所有病例中，计算机断层扫描（CT）均具有诊断价值。孤立性十二指肠损伤较为罕见，且第二部分最常受影响。
在钝性上腹部创伤中，尤其是在上腹痛和呕吐的患者中，应始终怀疑存在十二指肠损伤。对这些患者进行 CT 检查和早期手术干预是降低发病率和死亡率的有价值工具。
