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Early laparoscopic repair for blunt duodenal perforation in an adolescent

  • Chein-Lin Huang
    Affiliations
    Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung 80708, Taiwan
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  • Jui-Ying Lee
    Affiliations
    Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung 80708, Taiwan

    Graduate Institute of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan
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  • Yu-Tang Chang
    Correspondence
    Corresponding author. Division of Pediatric Surgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung 80708, Taiwan. Tel.: +886 7 3121101 6206.
    Affiliations
    Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung 80708, Taiwan

    Graduate Institute of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan

    Department of Surgery, Graduate Institute of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan
    Search for articles by this author

      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.

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