Duodeno-jejunal flexure injury is well recognised in blunt abdominal trauma generally. It is usually caused by compression of the relatively fixed bowel against the spine producing a shearing force which tears the bowel.1 Non-accidental injury is a rare cause of duodeno-jejunal flexure injury in childhood, but serious complications can ensue if there is a delay in diagnosis, which unfortunately...

Intra-thoracic herniation of abdominal organs following diaphragmatic rupture represents an unusual clinical occurrence with great diagnostic difficulty. The authors present a case of right diaphragmatic rupture related to peritonitis due to perforated duodenal ulcer in previous (1 year before) thoraco-abdominal trauma with complete intra-thoracic herniation of the liver, gallbladder, ascending...

As injuries in this region are uncommon, most surgeons may expect to treat only a few in a lifetime. The object of this paper is to review the clinical features, and the ancillary aids, which may enable a diagnosis to be made. The infrequency is illustrated by an analysis of 38i cases of ruptured bowel by Rowlands (1923) in which he found only 23 duodenal injuries. Counsellor and McCormack (I93...

A case of neglected, double-site, post-traumatic duodenal rupture, which was overlooked at the emergency laparotomy due to intra-abdominal bleeding is presented. For nine days the excessive laceration remained asymptomatic, probably because of visceral adhesions. Both tears of the duodenum were eventually repaired, but symptoms and signs of high mechanical obstruction had developed afterwards, ...

We present a rare clinical observation of an 11-year-old boy who, as result fall from height, received severe combined injury the chest, abdomen, retroperitoneal space, which was accompanied by contusion lungs with hydrothorax, right kidney, pancreas and duodenal rupture development traumatic shock III degree, bile peritonitis. It required emergency surgery, intensive care patient’s chronic ref...