Abstract
Duodenal perforation secondary to blunt abdominal trauma in children is rare and usually
associated with delays in diagnosis and surgical intervention. The authors encountered
such a case in a 12-year-old boy owing to his falling over the handlebar of a bicycle.
Imaging examination showed that there was a perforation over the fourth portion of
the duodenum without concomitant injuries. Using a 5-port transperitoneal laparoscopic
technique, primary closure of the perforation was successfully performed at 6 hours
after the impact. Laparoscopic approach appears to be safe and feasible in hemodynamically
stable children with solitary traumatic duodenal perforation if the operation can
be performed early in the course of the incident.
Key words
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References
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Article info
Publication history
Accepted:
December 18,
2011
Received in revised form:
December 2,
2011
Received:
October 26,
2011
Identification
Copyright
© 2012 Published by Elsevier Inc. All rights reserved.
