Diagnostic and therapeutic proceedings in cases of duodenum injury concerning an example of a post-traumatic duodenum rupture - a case study

Piotr Maciaszczyk; Rafał Drozda; Piotr Ziemniak; Justyna Cielecka; Jacek Cywiński; Konrad Janowski; Krzysztof Kołomecki

Vol 10, No 1 (2008)

Aktualności

Published online: 2008-04-15

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Diagnostic and therapeutic proceedings in cases of duodenum injury concerning an example of a post-traumatic duodenum rupture - a case study

Piotr Maciaszczyk, Rafał Drozda, Piotr Ziemniak, Justyna Cielecka, Jacek Cywiński, Konrad Janowski, Krzysztof Kołomecki

Chirurgia Polska 2008;10(1):58-66.

Vol 10, No 1 (2008)

Aktualności

Published online: 2008-04-15

Abstract

Injuries occupy third place among the causes of death in the total human population, just after cardiovascular system diseases and cancer. They constitute the most common cause of death in the group of people aged up to 40.
A case of post-traumatic duodenum rupture is presented, which was properly diagnosed and surgically treated only during a repeated laparotomy performed three days after the initial laparotomy. After 33 days of hospital stay the patient was released home in a good overall condition, with a recommendation for further care in surgical outpatient’s clinic.
The aetiology, diagnostics and methods of surgical treatment of post-traumatic duodenum injuries are discussed.
A thesis was formulated that one of the key prognostic elements in multiple body injuries is, besides the proper diagnosis and treatment, the time passed between the injury and the final treatment of the injured organs.