Characteristics of duodenum:
12 in long
From pylorus to ligament of Treitz
Divided into 4 sections:
Last 3 sections retroperitoneal along with distal portion of 1st section
Complaints may be minimal with vague abdominal, flank, and back pain
High GI obstruction may be seen with duodenal hematomas
Follow trauma protocols
Important to have pre-hospital personnel provide clear description of mechanism of injury and to transport to appropriate facility
All patients with duodenal injuries need admission to trauma surgical service
Minor duodenal hematomas that do not require immediate surgery may require nasogastr...
Significant morbidity and mortality with delayed or missed diagnosis
Physical exam can be misleading due to retroperitoneal location
If continued high suspicion despite negative diag...
Chen GQ, Yang H. Management of duodenal trauma. Chin J Traumatol. 2011;14(1):61–64.
Han JH, Hong SI, Kim HS, et al. Multilevel duodenal injury after blunt trauma. J Korean...
863.21 Injury to duodenum, without open wound into cavity
863.31 Injury to duodenum, with open wound into cavity
S36.400A Unspecified injury of duodenum, initial encounter
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