May 1969, Vol 98, No. 5 >

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ARTICLE | May 1969

Transluminal Repair of Injuries of the Medial Wall of the Descending Duodenum

Robert M. Richter, MD; William S. Calem, MD; Bernard S. Levowitz, MD

Arch Surg. 1969;98(5):652-653. doi:10.1001/archsurg.1969.01340110144020.

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ABSTRACT

Among the large number of articles concerned with doudenal injuries, none refers to the management of wounds of the medial wall of the second portion of the duodenum. In a recent experience involving the treatment of such a wound, the approach utilized in the repair proved safe and merits presentation.

Report of a Case A 21-year-old man was admitted to the Greenpoint Hospital in coma on Oct 8, 1967. Shortly before, he had been stabbed in the abdomen with a knife of unknown length. The pulse and blood pressure were unobtainable, and his breathing was rapid and shallow. Omentum was found protruding through a 2-cm stab wound in the left upper-abdominal quadrant. The abdomen was slightly distended and silent. Reflexes were unobtainable. Nasogastric intubation yielded fresh blood. Stool and urine specimens were normal.Prompt laparotomy was performed, and a large hemoperitoneum was evacated. The path of the knife wound is

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Richter RM, Calem WS, Levowitz, MD BS. Transluminal Repair of Injuries of the Medial Wall of the Descending Duodenum. Arch Surg. 1969;98(5):652-653. doi:10.1001/archsurg.1969.01340110144020.

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Transluminal Repair of Injuries of the Medial Wall of the Descending Duodenum

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