Abstract
Multiple perforations of the small bowel are common after penetrating abdominal trauma. Small bowel perforation after blunt trauma is less common and the diagnosis is challenging but recent advances in radiological imaging have improved the diagnostic accuracy. Because of the retroperitoneal location of the pancreas, it is rarely injured, and the pre- and intraoperative diagnosis relies on high index of suspicion, appropriate radiological investigations, and meticulous exposure during explorative laparotomy. Intraperitoneal perforation of the small bowel causes, in most cases, a generalized peritonitis that is the most common consequence of a gastrointestinal perforation and a major factor in causing morbidity and mortality. Isolated pancreatic injuries can remain silent at the early stage and manifest later as pancreatic pseudocysts, abscesses or fistulas.
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Leppäniemi, A.K. (2011). Pancreas, Duodenum, Small Bowel. In: Oestern, HJ., Trentz, O., Uranues, S. (eds) Head, Thoracic, Abdominal, and Vascular Injuries. European Manual of Medicine. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-88122-3_9
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DOI: https://doi.org/10.1007/978-3-540-88122-3_9
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