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Retroperitoneal Rapture of Duodenum Following Nonpenetrating Injuries to Adbomen

Retroperitoneal Rapture of Duodenum Following Nonpenetrating Injuries to Adbomen Abstract Rupture of the retroperitoneal portion of the duodenum is not a frequent occurrence, but it does occur sufficiently often to be of clinical significance to those interested in the surgery of this area. Owing to the fact that such an injury frequently gives little evidence of its presence on routine exploration of the abdomen, the possibility of such an injury being present must be constantly borne in mind to prevent its being overlooked. In the hands of competent and experienced surgeons, failure to recognize such injuries has been reported, and this is particularly liable to occur when injuries to other structures are found which are thought sufficient to account for the patient's symptoms. The duodenum is well protected from most types of abdominal assault, but, owing to its having a fixed position as it passes in front of the vertebral column, it is particularly vulnerable to compression injuries, such as References 1. Nardi, G. L.: Metabolic Studies Following Total Pancreatectomy for Retroperitoneal Leiomyosarcoma , New England J. Med. 247:541 ( (Oct. 9) ) 1952.Crossref 2. McLaughlin, E. F., and Harris, J. S. C.: Total Pancreatectomy for Recurrent Calcareous Pancreatitis , Ann. Surg. 136:1024 ( (Dec.) ) 1952.Crossref 3. Brunschwig, A.: Pancreatoduodenectomy: A "Curative" Operation for Malignant Neoplasm in the Pancreatoduodenal Region , Tr. Am. S. A. 70:273, 1952. 4. Whitfield, A. G. W.; Gourevitch, A., and Thomas, G.: Metabolic Effects of Total Pancreatectomy in Man , Lancet 1:180 ( (Jan. 26) ) 1952.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives Surgery American Medical Association

Retroperitoneal Rapture of Duodenum Following Nonpenetrating Injuries to Adbomen

A.M.A. Archives Surgery , Volume 70 (3) – Mar 1, 1955

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Publisher
American Medical Association
Copyright
Copyright © 1955 American Medical Association. All Rights Reserved.
ISSN
0096-6908
DOI
10.1001/archsurg.1955.01270090021005
Publisher site
See Article on Publisher Site

Abstract

Abstract Rupture of the retroperitoneal portion of the duodenum is not a frequent occurrence, but it does occur sufficiently often to be of clinical significance to those interested in the surgery of this area. Owing to the fact that such an injury frequently gives little evidence of its presence on routine exploration of the abdomen, the possibility of such an injury being present must be constantly borne in mind to prevent its being overlooked. In the hands of competent and experienced surgeons, failure to recognize such injuries has been reported, and this is particularly liable to occur when injuries to other structures are found which are thought sufficient to account for the patient's symptoms. The duodenum is well protected from most types of abdominal assault, but, owing to its having a fixed position as it passes in front of the vertebral column, it is particularly vulnerable to compression injuries, such as References 1. Nardi, G. L.: Metabolic Studies Following Total Pancreatectomy for Retroperitoneal Leiomyosarcoma , New England J. Med. 247:541 ( (Oct. 9) ) 1952.Crossref 2. McLaughlin, E. F., and Harris, J. S. C.: Total Pancreatectomy for Recurrent Calcareous Pancreatitis , Ann. Surg. 136:1024 ( (Dec.) ) 1952.Crossref 3. Brunschwig, A.: Pancreatoduodenectomy: A "Curative" Operation for Malignant Neoplasm in the Pancreatoduodenal Region , Tr. Am. S. A. 70:273, 1952. 4. Whitfield, A. G. W.; Gourevitch, A., and Thomas, G.: Metabolic Effects of Total Pancreatectomy in Man , Lancet 1:180 ( (Jan. 26) ) 1952.Crossref

Journal

A.M.A. Archives SurgeryAmerican Medical Association

Published: Mar 1, 1955

References