Rare finding in patient with blunt upper abdominal trauma

S. Ladumor, A. Rashid
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Abstract

The duodenum is relatively protected due to its retroperitoneal location.An isolated duodenal injury (IDI) involving the duodenum is rarely seen following a blunt abdominal trauma. Here we are reporting rare imaging findings in young patient of 30 yrs. old gentle man presented with blunt upper abdominal trauma with mild upper abdominal tenderness. The main reason to report this case is to identify rare isolated injury in cross-sectional imaging findings, and management of IDI. As IDI can present vaguely and difficult to diagnose clinically.If periduodenal free fluid seen on computed tomography scan and adjacent organs are within normal with no obstructive changes can raise possibility of the duodenal injury. Early diagnosis is very helpful for management as well as important to prevent associated early and late complication.
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上腹部钝性创伤的罕见发现
十二指肠由于位于腹膜后而相对受到保护。孤立性十二指肠损伤(IDI)累及十二指肠是罕见的钝性腹部创伤。在此,我们报告一位30岁的年轻患者的罕见影像学发现。温和的老人表现为钝性上腹部创伤和轻微的上腹部压痛。报告该病例的主要原因是在横断面成像发现中发现罕见的孤立性损伤,并对IDI进行管理。由于IDI表现模糊,临床诊断困难。如果在计算机断层扫描中发现十二指肠周围游离液和邻近器官正常且无梗阻性改变,则可能增加十二指肠损伤的可能性。早期诊断对治疗非常有帮助,对预防相关的早、晚期并发症也很重要。
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