A Study of 10 Cases of Duodenal Injury After Blunt Abdominal Trauma Managed by Triple Tube Method

Dr. Pratik R. Shah; Dr. HareshItaliya; Dr. Ajay Rajyaguru; Dr. Jatin Bhatt

Volume : III, Issue : X, October - 2014

A Study of 10 Cases of Duodenal Injury After Blunt Abdominal Trauma Managed by Triple Tube Method

Dr. Pratik R. Shah, Dr. Hareshitaliya, Dr. Ajay Rajyaguru, Dr. Jatin Bhatt

Abstract :

Duodenal injuries are found in only 3–5% laparotomies for blunt or penetrating abdominal trauma. Delay in diagnosis due to late clinical presentation, subtle diagnostic findings, incorrect classification of the injury leads to increased morbidity and mortality. We retrospectively analysed 10 consecutive patients diagnosed with traumatic duodenal injuries over 4 years. In that 10 patients, majority of them were of21 – 40 years and 40 % were in shock at the time of presentation. 6 patients were patients were preoperatively diagnosed, and 4 were diagnosed intra–operatively. All the patients underwent triple tube decompression with primary repair of injury. Only 1 patient with head injury died rest all were survived and discharged successively. Summary: Triple tube decompression with primary repair is an effective alternative in unstable, non–complex duodenal injury patients.