Single-stage surgical treatment of duodenal necrosis after open injury
https://doi.org/10.34215/1609-1175-2025-3-35-39
Abstract
We present information on the principles of timely and adequate surgical treatment of duodenal injuries, which can be useful for clinical physicians. Duodenal injuries are relatively rare in clinical practice, which complicates the selection of an optimal surgical treatment method. The method of surgical intervention depends on the localization and extent of the identified injury. In this article, we describe a clinical case of multiple penetrating abdominal wounds, which resulted in multiple perforating injuries of the duodenum D 4 (OIS-III severity according to AIS-4) with subsequent necrosis. During the third operation, in the setting of peritonitis, duodenectomy with preservation of the pancreas head and the hepatopancreatic ampulla was performed. Anastomosis of the loop of the disconnected jejunum with the pancreatic and common bile duct on drains was performed with a favorable outcome. The selection of a surgical treatment method should be made by a surgeon on an individual basis.
About the Authors
I. V. Shulga
Primorsky Regional Clinical Hospital No. 1
Russian Federation
Russian Federation
Vladivostok
Y. P. Pakholyuk
Pacific State Medical University
Russian Federation
Russian Federation
Yuri P. Pakholyuk, Cand. Sci. Med.), Associate Professor of the Institute of Surgery
2 Ostryakova ave., Vladivostok, 690002, Russia
tel.: +7 (914) 724-34-06
I. A. Sarvanov
Pacific State Medical University
Russian Federation
Russian Federation
Vladivostok
T. S. Ezhova
Primorsky Regional Clinical Hospital No. 1
Russian Federation
Russian Federation
Vladivostok
D. S. Fisun
Vladivostok Clinical Hospital No. 2
Russian Federation
Russian Federation
Vladivostok
O. I. Shchepetilnikova
Vladivostok Clinical Hospital No. 2
Russian Federation
Russian Federation
Vladivostok
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Review
For citations:
Shulga I.V., Pakholyuk Y.P., Sarvanov I.A., Ezhova T.S., Fisun D.S., Shchepetilnikova O.I. Single-stage surgical treatment of duodenal necrosis after open injury. Pacific Medical Journal. 2025;(3):35-39. (In Russ.) https://doi.org/10.34215/1609-1175-2025-3-35-39
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