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Case Reports
. 2024 Nov 15;24(1):742.
doi: 10.1186/s12887-024-05217-9.

Management of traumatic duodenal rupture in children-case series

Zhen Cheng  1 , Yuelan Zheng  1 , Jiahui Gao  1 , Zhouguang Wu  1 , Qi Feng  1 , Bin Wang  2
Affiliations
Case Reports

Management of traumatic duodenal rupture in children-case series

Zhen Cheng et al. BMC Pediatr. .

Abstract

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.

Keywords: Children; Diagnosis; Duodenal rupture; Postoperative management; Surgery.

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Conflict of interest statement

Declarations Ethics approval and consent to participate This study involving human participants was reviewed and approved by the ethics committee of Shenzhen Children’s Hospital. All methods were performed in accordance with the relevant guidelines and regulations. Written informed consent was obtained from the participants’ legal guardian/next of kin. Consent for publication Not applicable. Clinical trial number Not applicable. Competing interests The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
Axial CT scan image showing rupture of the junction of the descending and horizontal segments of the duodenum with free intra-peritoneal free fluid. Permission has been obtained to publish this figure. Arrows: Rupture of the junction of D2 and D3. CT, computed tomography
Fig. 2
Fig. 2
Arrows: Intraoperative findings of the rupture in Duodenum
Fig. 3
Fig. 3
Manifestations after intraoperative duodenal repair
See this image and copyright information in PMC

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References

    1. Gaines BA, Ford HR. Abdominal and pelvic trauma in children. Crit Care Med. 2002;30(11 Suppl):S416–23. - PubMed
    1. Bixby SD, Callahan MJ, Taylor GA. Imaging in pediatric blunt abdominal trauma. Semin Roentgenol. 2008;43(1):72–82. - PubMed
    1. Gaines BA. Intra-abdominal solid organ injury in children: diagnosis and treatment. J Trauma. 2009;67(2 Suppl):S135–9. - PubMed
    1. Gutierrez IM, Mooney DP. Operative blunt duodenal injury in children: a multi-institutional review. J Pediatr Surg. 2012;47(10):1833–6. - PubMed
    1. Luo Y, He X, Geng L, Ouyang R, Xu Y, Liang Y, et al. Diagnosis and treatment of traumatic duodenal rupture in children. BMC Gastroenterol. 2022;22(1):61. - PMC - PubMed

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