A Case of Traumatic Duodenal Injury Caused by a Snow Shovel

Abstract

We report on a single case of a 55-year-old man with a traumatic duodenal injury caused by a snow shovel. The patient complained of severe abdominal pain and so he was admitted for observation. Next day, abdominal computed tomography (CT) showed retroperitoneal rupture of Bthe duodenum and an emergency operation was performed. A laparotomy revealed double perforation, both anterior and posterior wall, of the duodenum in the third portion and retroperitoneal inflammation. All wounds were closed with Albert-Lembert sutures, and a gastrojejunostomy with Braun's anastomosis, catheter jejunostomy and external biliary drainage were performed for drainage of the duodenal contents. The postoperative course showed no serious complications, such as anastomotic leakage. We considered that the combination of some of the decompression treatments we performed was a simple and useful operation for duodenal rupture.