Duodenal Diverticulation, a Surgical Option for Complex Duodenal-Pancreatic Injuries: Case Presentation

Degree Specialist in General Surgery, Manuel Ascunce Domenech, University Hospital, Camaguey, Cuba

*Corresponding Author: Dr. Héctor Alejandro Céspedes Rodríguez, Instructor Teacher, Degree Specialist in General Surgery, Manuel Ascunce Domenech, University Hospital, Camaguey, Republic 59 between Poor and Perdomo, Postal Code: 70100, Cuba, Telephone. 58360607, ORCID: 0000-0002-3668-9888; E-mail: [email protected].

Received Date: February 22, 2024

Published Date: March 22, 2024

Citation: Rodriguez HAC, et al. (2024). Duodenal Diverticulation, a Surgical Option for Complex Duodenal-Pancreatic Injuries: Case Presentation. Mathews J Cardiol. 8(1):34.

Copyrights: Rodriguez HAC, et al. © (2024).

ABSTRACT

Introduction: Duodenal divertivulization (DD) is a procedure still performed for the treatment of complex duodenal-pancreatic injuries. Objective: To present the case of complex duodenal-pancreatic injury, where a duodenal diverticulation was performed as a way to treat said injury. Case presentation: A 48-year-old patient, who received a stab wound in the epigastrium with epiploic evisceration, was immediately operated on during the abdominal exploration, a complex pancreatic duodenal injury was noted where our surgical team decided to perform DD as a treatment for said injury. Discussion: DD as a necessary surgical option in the management of complex duodenal and pancreatic injuries, but not a technique used systematically or fundamentally for the treatment of these injuries in general. The cases must be chosen methodically, and their indications are the association of lesions of the retroduodenal or intrapancreatic common bile duct and lesions of the gastric antrum where pyloric exclusion and other surgical techniques have minimal resolution in the face of this complex trauma. Conclusions: DD leads to an irreversible alteration of food transit. However, this is a feasible bypass option in cases of high probability of complex duodenal injury of fistula and cicatricial stenosis, particularly in the context of associated gastric injury. The high mortality rate related to duodenal trauma is largely affected by the existence of associated injuries, with penetrating injuries experiencing the greatest intraoperative blood loss and shock.

Keywords: Duodenal Trauma, Pancreatic Trauma, Duodenal Diverticulation.