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Management of traumatic duodenal rupture in children-case series
Zhen Cheng1, Yuelan Zheng1, Jiahui Gao1
1Department of General Surgery, Shenzhen Children's Hospital, 7019 Yitian Road, Futian District, Shenzhen, Guangdong, 518026, China.
Insights
Traumatic duodenal rupture in children is rare but serious. Early diagnosis and surgical intervention are crucial for successful outcomes and preventing complications in pediatric blunt abdominal trauma.
Area of Science:
- Pediatric Surgery
- Trauma Surgery
- Gastrointestinal Surgery
Background:
- Traumatic duodenal rupture is an uncommon injury, representing 2-10% of all blunt abdominal trauma cases.
- This condition poses significant risks in pediatric patients, necessitating a thorough understanding of its management.
Purpose of the Study:
- To investigate the diagnostic and therapeutic experiences with traumatic duodenal rupture in children.
- To highlight the importance of prompt recognition and surgical intervention for pediatric duodenal injuries.
Main Methods:
- A retrospective case series design was employed.
- Clinical data from three pediatric patients who underwent surgical treatment for traumatic duodenal rupture between January 2013 and January 2023 were analyzed.
- Data included demographics, trauma mechanisms, clinical findings, diagnostic methods, surgical timing and procedures, and postoperative care.
Main Results:
- Three children (1 male, 2 females; average age 8.2 years) with traumatic duodenal rupture were included.
- Mechanisms of injury included blunt force trauma from heavy objects and seat belt-related injuries associated with lumbar fractures.
- All patients received emergency surgery within 24 hours and experienced successful recovery with no postoperative complications during follow-up.
Conclusions:
- Traumatic duodenal rupture, though rare, is a potentially fatal condition in children.
- Early identification and aggressive surgical exploration are vital to minimize complications and mortality in pediatric blunt abdominal trauma, particularly in cases with seat belt signs.
- Standardized postoperative management is essential for optimal recovery in affected children.
Background:
Traumatic duodenal rupture is rare which accounts for only 2-10% of all Blunt abdominal trauma. The purpose of this study was to investigate the experience of diagnosis and treatment of traumatic duodenal rupture in children.
Methods:
This was a retrospective case series study. Clinical data were collected from three children suffering from a traumatic duodenal rupture who received surgical treatment in our hospital from January 2013 to January 2023. Demographic characteristics, trauma mechanism, physical examination, auxiliary examination, operation timing and plan, postoperative management and follow-up of included patients were described. Summarize the importance of early diagnosis and treatment of this type of injury.
Results:
Three children (1 male and 2 females) with duodenal rupture due to traumatic abdominal injury were included in the study, with average age of 8.2 years (range 2.75-13.25 years). Among them, One child was injured by heavy objects. The other two children had lumbar fracture and seat belt sign. All three patients underwent emergency operation within 24 h, and recovered well after surgery. No related complications seen during follow-up.
Conclusions:
Duodenal rupture is a rare but fatal disease. Early identification and active abdominal exploration can reduce the incidence of related complications and mortality in children with blunt abdominal injury, especially those with seat belt sign. Simultaneously, the standardized postoperative management is significant for the cure of children.
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