Details

Autor(en) / Beteiligte

• Goh, Barnabas
• Soundappan, Soundappan S. V.

Titel

Traumatic duodenal injuries in children: a single‐centre study

Ist Teil von

• ANZ journal of surgery, 2021-01, Vol.91 (1-2), p.95-99

Ort / Verlag

Melbourne: John Wiley & Sons Australia, Ltd

Erscheinungsjahr

2021

Link zum Volltext

Quelle

Wiley Online Library - AutoHoldings Journals

Beschreibungen/Notizen

• This study assessed the location and grading of duodenal injury. Background Traumatic duodenal injuries in children are rare, and few studies have documented duodenal injuries in children, especially in Australasia. This study assessed the mechanism, investigations, management and outcomes of children (aged <16 years) with duodenal injuries. Methods Retrospective review was conducted over a 16‐year period from a single paediatric trauma centre. Results Sixteen cases of duodenal injuries were identified: 15 cases of blunt duodenal injury and only one case of penetrating injury. Motor vehicular accidents were the most common cause of injury, followed by auto‐pedestrian injuries and handlebar injuries. Only grade I and II injuries were identified. Computed tomography aided diagnosis in all cases of blunt duodenal injuries, especially given the variable nature of symptoms. Eight patients underwent laparotomy, of whom five required duodenal repair. Three patients underwent primary repair with omental patch, one patient underwent primary repair with gastrostomy and one patient underwent two‐layered repair with t‐tube duodenostomy. There were no delays in operative management within 24 h and no complications identified. Conclusion In comparison to other paediatric trauma centres worldwide, the majority of duodenal injuries were low grade and attributed to blunt trauma. Computed tomography aided diagnosis in all cases of blunt duodenal injury. Primary repair of duodenal injuries was possible in the majority of cases requiring operative repair.