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[Traumatic dissection of the duodenal wall in a child]
1Chirurgické oddĕlení Okresní nemocnice, Jicín.
Insights
A rare gastrointestinal (GI) injury in a child, a dissecting retroperitoneal duodenal hematoma, was successfully treated. This case highlights that such blunt abdominal injuries in pediatric patients can be managed effectively, even with conservative methods.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Tract Injury
- Trauma Management
Background:
- Blunt abdominal trauma is a common cause of pediatric surgical emergencies.
- Retroperitoneal duodenal injuries are rare, particularly in children, and can be challenging to diagnose and manage.
- Dissecting hematomas of the duodenal wall represent a specific and infrequent manifestation of these injuries.
Abstract:
The authors present the case of a 6-year-old girl admitted to the department three days after a blunt abdominal injury. On surgical revision a dissecting haematoma of the wall of retroperitoneal duodenal sections was revealed. After its treatment and nutritive puncture jejunostomy the subsequent postoperative course was free from complications. This is an infrequent GIT injury in childhood which can be treated also by conservative methods.