TWO CASES OF THE TRAUMATIC DUODENAL INJURY WITH SPECIAL REFERENCE TO USEFUL CASES DETECTED BY EMERGENCY ENDOSCOPY

Abstract

We experinced 18 cases with duodenal injury which consisted of 16 cases of blunt abdominal truma (10 cases ruputure, 4 intraluminal hematoma and 2 contusion) and 2 cases of suicide. The patients were 14 males and 4 females. The mean age of male was 41.8 years old and of female was 30.8 years old. Unfortunatly, 2 of 3 cases of the duodenal ruputure died from other severe organ injury and other one case also died of a no initial adequate treatment. One case was diagnosed by an emergency endoscopy and a duodenography through the endoscope using water soluble contrast medium on shortly after admission. One case of duodenal hematoma was diagnosed and could evaluate the size of lesion and location by same method. We concluded that emergency endoscopy and duodenography through the endoscope using water soluble contrast medium were very useful to comfirm an early accuracy diagnosis and an adequate treatment for duodenal injury in an blunt abdominal traumatic cases.