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Duodenal UlcersDuodenal ulcers are the most common form of peptic ulcer disease, presenting with chronic, intermittent epigastric pain. Pain typically appears 2–3 hours after meals, especially when the stomach is empty, often waking patients at night. It is characteristically relieved by food or antacids (“pain–food–relief”). Some patients remain asymptomatic until complications like bleeding or perforation emerge, particularly with NSAID or anticoagulant use.Gastric UlcersGastric ulcers share...
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Related Experiment Video

Updated: May 24, 2026

Robotic D3 Partial Duodenal Resection with Primary Side-to-Side Anastomosis
10:41

Robotic D3 Partial Duodenal Resection with Primary Side-to-Side Anastomosis

Published on: December 15, 2023

Neglected, traumatic duodenal rupture--case report.

Andrzej Zyluk1, Wojciech Jagielski, Piotr Puchalski

  • 1Department of General and Hand Surgery, Pomeranian Medical University, Szczecin.

Polski Przeglad Chirurgiczny
|February 21, 2012
PubMed
Summary
This summary is machine-generated.

This case report details a neglected duodenal rupture that was initially missed during surgery. Prompt repair and gastric decompression led to the patient's recovery from this complex injury.

Related Experiment Videos

Last Updated: May 24, 2026

Robotic D3 Partial Duodenal Resection with Primary Side-to-Side Anastomosis
10:41

Robotic D3 Partial Duodenal Resection with Primary Side-to-Side Anastomosis

Published on: December 15, 2023

Area of Science:

  • Gastroenterology
  • Trauma Surgery
  • Surgical Case Reports

Background:

  • Duodenal rupture is a severe injury often associated with high-energy trauma.
  • Delayed diagnosis of duodenal injuries can lead to increased morbidity and mortality.
  • Intra-abdominal bleeding can complicate the assessment and management of hollow viscus injuries.

Observation:

  • A case of neglected, double-site, post-traumatic duodenal rupture was initially overlooked during emergency laparotomy due to significant intra-abdominal bleeding.
  • The extensive duodenal laceration remained asymptomatic for nine days, likely due to visceral adhesions.
  • High mechanical obstruction developed post-operatively, necessitating further surgical intervention for gastric decompression.

Findings:

  • Both duodenal tears were successfully repaired.
  • Post-repair endoscopy confirmed the patency of the repair sites and the gastro-jejunal anastomosis.
  • The patient experienced rapid symptom resolution and full recovery following gastric decompression.

Implications:

  • This case highlights the importance of considering duodenal injury even in the presence of confounding factors like massive hemorrhage.
  • Visceral adhesions may mask the clinical presentation of duodenal rupture, leading to delayed diagnosis.
  • Management of post-repair duodenal obstruction may require interventions such as gastric decompression.