Articles Vol. 66 No. CĐ16-HNKH Bệnh viện Nhi Đồng 2 02/10/2025

28. STUDY ON CLINICAL, PARACLINICAL CHARACTERISTICS AND TREATMENT RESULTS OF DUODENAL TRAUMA IN CHILDREN

Vu Truong Nhan1,2,3
1 Bệnh viện Nhi Đồng 2
2 Viện Khoa học Sức khỏe DNC, Trường Đại học Nam Cần Thơ
3 Trường Đại học Y khoa Phạm Ngọc Thạch
Corresponding author: vutruongnhandr@gmail.com
DOI: 10.52163/yhc.v66iCD16.3340
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Keywords
Duodenal trauma, American Association for the Surgery of Trauma (AAST).
Abstract

Objective: To analyze the clinical and paraclinical characteristics, and treatment results of duodenal trauma in children at Children's Hospital 2.

Subjects and Methods: A retrospective case series study was conducted on 15 pediatric patients treated with duodenal trauma at General Sugery Department, Children's Hospital 2, from January 2014 to June 2024.

Results: 15 cases of duodenal trauma were identified: 14 cases of blunt duodenal injury and only 1 case of penetrating injury. Most are grade II duodenal lesions according to AAST. Computed tomography aided diagnosis in most cases of blunt duodenal injuries. 3 cases were successfully treated conservatively. 12 cases required surgical intervention: 7 cases were treated with simple duodenal perforation suture, 1 case of duodenal serosa incision to drain the hematoma, 2 cases were treated with Roux-en-Y duodenojejunostomy, 2 cases of duodenal hematoma were detected during surgery, the serosa was not incised to drain the hematoma but only a decompression tube was placed. All cases had duodenal decompression tube placed.

Conclusions: Duodenal trauma in children is a rare and complex injury. Most are due to blunt abdominal trauma and are grade II - AAST. Computed tomography plays an important role in supporting the diagnosis of duodenal trauma. Duodenal decompression tube placement in conservative treatment or surgical intervention helps achieve good treatment results.

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