Management of traumatic duodenal rupture in children-case series
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. Cl...
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| Language: | English |
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BMC
2024-11-01
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| Series: | BMC Pediatrics |
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| Online Access: | https://doi.org/10.1186/s12887-024-05217-9 |
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| author | Zhen Cheng Yuelan Zheng Jiahui Gao Zhouguang Wu Qi Feng Bin Wang |
| author_facet | Zhen Cheng Yuelan Zheng Jiahui Gao Zhouguang Wu Qi Feng Bin Wang |
| author_sort | Zhen Cheng |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-35b1a7c300c44451bee42761d963ea20 |
| institution | Kabale University |
| issn | 1471-2431 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pediatrics |
| spelling | doaj-art-35b1a7c300c44451bee42761d963ea202024-11-17T12:49:16ZengBMCBMC Pediatrics1471-24312024-11-012411610.1186/s12887-024-05217-9Management of traumatic duodenal rupture in children-case seriesZhen Cheng0Yuelan Zheng1Jiahui Gao2Zhouguang Wu3Qi Feng4Bin Wang5Department of General Surgery, Shenzhen Children’s HospitalDepartment of General Surgery, Shenzhen Children’s HospitalDepartment of General Surgery, Shenzhen Children’s HospitalDepartment of General Surgery, Shenzhen Children’s HospitalDepartment of General Surgery, Shenzhen Children’s HospitalDepartment of General Surgery, Shenzhen Children’s HospitalAbstract 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.https://doi.org/10.1186/s12887-024-05217-9ChildrenDuodenal ruptureDiagnosisSurgeryPostoperative management |
| spellingShingle | Zhen Cheng Yuelan Zheng Jiahui Gao Zhouguang Wu Qi Feng Bin Wang Management of traumatic duodenal rupture in children-case series BMC Pediatrics Children Duodenal rupture Diagnosis Surgery Postoperative management |
| title | Management of traumatic duodenal rupture in children-case series |
| title_full | Management of traumatic duodenal rupture in children-case series |
| title_fullStr | Management of traumatic duodenal rupture in children-case series |
| title_full_unstemmed | Management of traumatic duodenal rupture in children-case series |
| title_short | Management of traumatic duodenal rupture in children-case series |
| title_sort | management of traumatic duodenal rupture in children case series |
| topic | Children Duodenal rupture Diagnosis Surgery Postoperative management |
| url | https://doi.org/10.1186/s12887-024-05217-9 |
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