Traumatic duodenal injury in children: A report of two cases

Deepa Makhija, Shalika Jayaswal, Vikrant Kumbhar

  • 1Department of Paediatric Surgery, TNMC and BYL Nair Hospital, Mumbai, Maharashtra-India. hemanshisshah@gmail.com.

Insights

Duodenal injury from blunt abdominal trauma in children is rare and often presents late. Early diagnosis and treatment are crucial to reduce severe complications in pediatric patients.

Area of Science:

  • Pediatric Surgery
  • Trauma Surgery
  • Gastrointestinal Surgery

Background:

  • Blunt abdominal trauma in children can cause severe injuries.
  • Duodenal injuries are exceptionally rare in pediatric blunt abdominal trauma.
  • Delayed presentation of duodenal injuries increases morbidity and mortality.

Observation:

  • This report details two pediatric cases of isolated duodenal injury.
  • Both cases resulted from blunt abdominal trauma.
  • The injuries were diagnosed and managed surgically.

Findings:

  • Isolated duodenal injury in children is a rare but serious consequence of blunt abdominal trauma.
  • Delayed diagnosis is a significant factor contributing to poor outcomes.
  • Prompt surgical intervention is essential for managing these injuries.

Implications:

  • Highlights the importance of considering duodenal injury in pediatric patients with blunt abdominal trauma, even if rare.
  • Emphasizes the need for heightened clinical suspicion and timely diagnostic imaging.
  • Suggests that early surgical management can improve outcomes and reduce long-term complications in pediatric duodenal trauma.