2018 Volume 43 Issue 6 Pages 1048-1052
This paper describes a case report of a 10-year-old boy who developed a bruise on his abdomen caused by the handle of his bicycle, and was seen at the emergency clinic in our hospital. When he was first seen he was not sick and his vital signs were stable. After follow-up by an Emergency Room (ER) doctor he was discharged home. However, he came back to the hospital the next day because his pain was worse. An abdominal CT scan and abdominal ultrasound showed collections of retroperitoneal fluid with free air and thickening of the third portion of the duodenal wall. An emergency operation was performed leading to a diagnosis of traumatic duodenal injuries 23 hours after the accident. Intraoperative findings showed a rupture (5×5mm diameter) of the horizontal portion of the duodenum that required simple suturing and closure, a serosal patch, gastrostomy, and a nasogastric tube for decompression. No serious complications occurred after the operation. In this paper we present our experience with a case of traumatic duodenal rupture in childhood, together with a review of relevant literature.
