PMID: 7090699Jan 1, 1982Paper

Closed injuries of the retroperitoneal portion of the duodenum

Acta chirurgica Iugoslavica
M Vuković


Closed injuries of retroperitoneal segment of the duodenum are very rare due to its small length and covering by the other organs. Almost half of these injuries are associated with injuries of the other organs. Pathoanatomical lesions are in the form of contusions, which may be overlooked by the surgeon if they are isolated, or as ruptures which require an operation. The author has treated four cases with ruptures which were most often located on the horizontal duodenal part and on the crossing from descending to the horizontal part. They were as consequences of kicks in the abdomen, traffic accidents and falls from heights. The mechanism of the injury involves hyperextension of the spinal column and sudden movement of the gastric and intestinal content. In the clinical picture dominate: pain irradiating to thorax, shoulder or flank, local tenderness and radiologically retroperitoneal and paravertebral collection of air. Because of quick deterioration of the signs, a clinical picture of peritonitis can develop, especially in association with the rupture of the other hollow-organs. In the injuries of the parenchimatous organs the signs of bleeding in the peritoneal cavity will dominate. Two of the four treated patients died.

Related Concepts

Nonpenetrating Wounds

Trending Feeds


Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Lipidomics & Rhinovirus Infection

Lipidomics can be used to examine the lipid species involved with pathogenic conditions, such as viral associated inflammation. Discovered the latest research on Lipidomics & Rhinovirus Infection.

Alzheimer's Disease: MS4A

Variants within the membrane-spanning 4-domains subfamily A (MS4A) gene cluster have recently been implicated in Alzheimer's disease in genome-wide association studies. Here is the latest research on Alzheimer's disease and MS4A.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Torsion Dystonia

Torsion dystonia is a movement disorder characterized by loss of control of voluntary movements appearing as sustained muscle contractions and/or abnormal postures. Here is the latest research.

Generating Insulin-Secreting Cells

Reprogramming cells or using induced pluripotent stem cells to generate insulin-secreting cells has significant therapeutic implications for diabetics. Here is the latest research on generation of insulin-secreting cells.

Central Pontine Myelinolysis

Central Pontine Myelinolysis is a neurologic disorder caused most frequently by rapid correction of hyponatremia and is characterized by demyelination that affects the central portion of the base of the pons. Here is the latest research on this disease.

Epigenome Editing

Epigenome editing is the directed modification of epigenetic marks on chromatin at specified loci. This tool has many applications in research as well as in the clinic. Find the latest research on epigenome editing here.

Related Papers

Tidsskrift for den Norske lægeforening : tidsskrift for praktisk medicin, ny række
F NaessJ O Stadaas
The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand
M Lanzetta, W B Conolly
© 2021 Meta ULC. All rights reserved