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Case report emphasize pearls of duodenal perforation.
Luna-Álvarez, Rubén Daniel; Navarro-Pimiento, Diana Camila; Alarcón-Carvajal, Yuber Fabián; Naranjo-Soler, Angelica Johana.
Afiliación
  • Luna-Álvarez RD; Department of General Surgery, Bariatric Surgery, Fundación Clínica Shaio, Bogota, Colombia. Electronic address: rubendaniel.luna@shaio.org.
  • Navarro-Pimiento DC; Medical School, El Bosque University, Bogota, Colombia. Electronic address: dnavarrop@unbosque.edu.co.
  • Alarcón-Carvajal YF; Department of General Surgery, National University of Colombia Faculty of Medicine, Bogota, Colombia. Electronic address: yfalarconc@unal.edu.co.
  • Naranjo-Soler AJ; Medical School, El Bosque University, Bogota, Colombia. Electronic address: ajnaranjo@unbosque.edu.co.
Int J Surg Case Rep ; 110: 108615, 2023 Sep.
Article en En | MEDLINE | ID: mdl-37647753
INTRODUCTION: Isolated duodenal perforation secondary to trauma is a rare abdominal surgical condition, with a questionable surgical approach depending on the case. PRESENTATION OF CASE: This is a case report of a 27-year-old male patient who presented with a free perforation in the posterior wall of the third portion of the duodenal frame and secondary retropneumoperitoneum without injuring any contiguous organ, after a medium-impact blunt abdominal trauma during a soccer game. DISCUSSION: A laparotomy was performed, followed by duodenorraphy with Connell-Mayo suture and Lambert suture using vascular prolene in two planes. A nasogastric tube was placed up to the jejunum, and a Jackson-Pratt drain was placed in close to the duodenum next to the sutures. During hospitalization was found a positive bacterial culture of the peritoneal fluid hence received antibiotics, without complication. CONCLUSION: It is essential to make a timely diagnosis with its respective individualized surgical approach and it must be managed as an emergency surgical procedure.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Int J Surg Case Rep Año: 2023 Tipo del documento: Article Pais de publicación: Países Bajos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Int J Surg Case Rep Año: 2023 Tipo del documento: Article Pais de publicación: Países Bajos