2017 Volume 31 Issue 3 Pages 405-409
Duodenal injury in patients with abdominal trauma is relatively rare. We present three cases of pediatric traumatic duodenal perforation, with a review of the literature. Patient 1 was a 10-year-old girl who developed a bruise on the upper abdominal region due to a seat belt injury. Patient 2 was a 14-year-old boy who developed a bruise on the right lateral abdominal region following a roundhouse kick during a karate match. When these patients arrived at the emergency clinic, their vital signs were stable, but abdominal pain and peritoneal signs were noted. Abdominal CT revealed retroperitoneal fluid collection. The next day, an additional CT scan revealed free air around the duodenum. Patient 3 was a 14-year-old boy who developed a bruise on the right lateral abdominal region after being hit during a karate match. Abdominal CT revealed the presence of free air and intra-abdominal ascites.
