Management of Complete Transection of Duodenum and Partial Transection of Transverse Colon in Blunt Injury Abdomen in a Rural Setup

Abstract

Complete transection of duodenum and partial transection of transverse colon following blunt injury abdomen and its clinical picture is often obscure and is extremely rare. High index of suspicion on the basis of mechanism of injury is important in early diagnosis. Early intervention in duodenal injuries have improved outcome and if it is more than 24 hours the mortality increased from 11 to 40%. The retroperitoneal location of the duodenum, its proximity to important abdominal structures and organs, its marginal blood supply, the biliary, pancreatic secretion drainage and diagnostic delay of its injuries cause therapeutic difficulties. All these factors create intraoperative dilemmas in the surgical management of duodenal injuries. The management of duodenal traumas remains controversial. We have discussed here a case of complete transection of duodenum and partial transection of transverse colon injury in blunt injury abdomen with the handle bar in a two wheeler accident. KEYWORDSDuodenal Injury, Blunt Injury Abdomen, Tension Free Primary Anastomosis.HOW TO CITE THIS ARTICLE: Subbiah P, Papu GS, Rajendran R, et al. Management of complete transection of duodenum and partial transection of transverse colon in blunt injury abdomen in a rural setup.