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  • Title: [Duodenal perforation after blunt abdominal trauma].
    Author: Schneider R, Moebius C, Thelen A, Jonas S.
    Journal: Zentralbl Chir; 2009 Dec; 134(6):567-9. PubMed ID: 20020392.
    Abstract:
    Duodenal perforation after a blunt abdominal trauma is a rare emergency situation that can result in life-threatening complications. We report on a woman who had a perforation of the duodenum after a supposed mild blunt abdominal trauma. Unremarkable at the initial presentation, the patient presented with acute abdominal pain and a retroperitoneal abscess five days after the initial trauma. The duodenal repair was performed with a Roux-Y anastomosis. Difficulties in diagnosis are very common, but the early recognition of the rupture is essential. The contrast-enhanced CT scan is the gold standard for diagnosis. Surgical management depends on the severity of the trauma and must be chosen on an individual basis.
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