signs and symptoms of blunt abdominal trauma

#Signs and symptoms of blunt abdominal trauma free#

The patient was discharged on the 18th postoperative day.

Continuity was restored by a mechanical duodenal-jejunal anastomosis. A resection of the distal duodenal stump and the adjacent jejunal segment including the anastomosis was performed. This surgical revision was performed on the fifth postoperative day. A transfer to a specialized center for a more anatomical continuity was considered, but the imminence of a humanitarian mission in the hospital prompted the surgeon to seize the opportunity of this mission for the reoperation. The surgeon performed emergency closure of both duodenal stumps and performed an isoperistaltic lateral gastrojejunal bypass.

#Signs and symptoms of blunt abdominal trauma free#

A tear of the omentum and transverse mesocolon and a complete section of the third duodenum at the beginning of its free portion were observed. An exploratory laparotomy revealed a large hemoperitoneum mixed with food debris. A peritoneal puncture brought back an incoagulable blood. He presented to the emergency room of the rural Regional Hospital of Edéa in Cameroon with a clinical picture of acute abdomen and post-trauma hemodynamic instability. We describe a new case of duodenal wound with complete transection in a 22-year-old patient following a motorcycle accident.