Abstract
A 19-year-old male was conveyed to hospital by ambulance with abdominal contusion due to a traffic accident. A diagnosis of traumatic duodenal injury was made based on the CT examination, and emergency surgery was planned. Injury to the duodenum (second and third portion) and the right transverse colon was found, for which we performed an end-to-side duodenojejunostomy and right hemicolectomy. The patient was discharged uneventfully on postoperative day 32. Traumatic duodenal injury is often difficult to diagnose. However, if surgery is delayed, the risk of intestinal leakage is higher and the survival rate may be significantly reduced. Rather than performing only a simple closure, it is important to decompress the anastomosis and protect it from the digestive juices. Also, to eliminate any oversight, it is necessary to perform Kocher's maneuver decisively. If diagnosis can be made early after injury, a highly invasive pancreatoduodenectomy can be avoided and an appropriate procedure selected, thus offering a better chance of survival.
