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[Posttraumatic duodenal lesions in children. The therapeutic considerations]

C Sabetay1, F Purcaru, O Angheloiu

  • 1Facultatea de Medicină Craiova, Clinica Chirurgie, Ortopedie Pediatrică.

Chirurgia (Bucharest, Romania : 1990)
|July 28, 1999
PubMed

Insights

Pediatric duodenal lesions are rare surgical cases. This study details 4 cases, highlighting successful management of complications like duodenal fistulae with intensive care and surgical interventions.

Area of Science:

  • Pediatric Surgery
  • Trauma Surgery
  • Intensive Care Medicine

Background:

  • Posttraumatic duodenal lesions in children are uncommon surgical emergencies.
  • These injuries often present with complex challenges requiring multidisciplinary care.

Observation:

  • Four pediatric cases of duodenal lesions were managed, with two experiencing postoperative duodenal fistulae.
  • Initial lesions were retroperitoneal, complicating diagnosis and treatment.
  • Intensive Care Unit (ICU) therapy focused on shock, immediate post-operative care, and late complications.

Findings:

  • Successful management involved intensive care addressing traumatic/septic shock, post-operative support, and nutritional deficiencies.
  • Surgical interventions included catheterization, gastro-duodenal aspiration, and fistula management via catheters and sutures.
  • Prompt and comprehensive ICU and surgical care led to favorable outcomes.

Implications:

  • This case series underscores the importance of specialized pediatric surgical and intensive care for managing rare duodenal injuries.
  • Effective treatment strategies for posttraumatic duodenal fistulae in children can be achieved through combined ICU and surgical approaches.
  • The findings suggest that early recognition and tailored management are crucial for improving outcomes in pediatric duodenal trauma.

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