Duodenal injury secondary to blunt abdominal trauma, an injury that goes unnoticed. Case report with imaging approach
DOI:
https://doi.org/10.53903/01212095.254Keywords:
Multidetector computed tomography, Abdominal injuries, DuodenumAbstract
Introduction: Duodenal injuries due to blunt abdominal trauma are a challenging scenario as they have non-specific symptoms or can even be asymptomatic in the first hours. The objective of this article is to present the case of a 15-year-old patient with duodenal injury secondary to blunt abdominal trauma, from an imaging approach. Clinical case: A 15-year-old patient with blunt abdominal trauma secondary to being run over by a motorcycle as a pedestrian. CT findings suggest duodenal injury such as thickening of the walls, enhancement of the mucosa and laminar fluid. Intestinal transit evaluation identifies duodenal perforation, and MR cholangiopancreatography (MRCP) rules out bile duct injury. Conclusion: Traumatic duodenal injury is a complication that is rarely encountered but can constitute a diagnostic challenge for both the surgery and radiology groups.
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