28. STUDY ON CLINICAL, PARACLINICAL CHARACTERISTICS AND TREATMENT RESULTS OF DUODENAL TRAUMA IN CHILDREN
Main Article Content
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.
Article Details
Keywords
Duodenal trauma, American Association for the Surgery of Trauma (AAST).
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