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Case report emphasize pearls of duodenal perforation
Rubén Daniel Luna-Álvarez1, Diana Camila Navarro-Pimiento2, Yuber Fabián Alarcón-Carvajal3
1Department of General Surgery, Bariatric Surgery, Fundación Clínica Shaio, Bogota, Colombia.
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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