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INTRODUCTION: Duodenal injuries are uncommon and are associated with significant morbidity and mortality due to delayed diagnosis (in the case of blunt trauma) or associated major vascular injuries (in the case of penetrating trauma). Isolated blunt injuries may have a subtle clinical presentation, and are particularly difficult to diagnose when the perforation is located in the retroperitoneal part of the duodenum. MATERIALS AND METHODS: This paper presents in company with three cases of successfully treated isolated duodenal injuries due to blunt trauma, focusing on with their preoperative diagnosis, surgical management and final out comes. CONCLUSIONS: Early diagnosis and successful surgical planning require experience and clinical suspicion on the part of the surgeon, as well as meticulous laparotomy results.
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BACKGROUND: We aimed to present the rates and causes of morbidity and mortality of the patients who were operated due to pancreatic trauma. METHODS: We studied retrospectively 13 patients (13 males; mean age 35.3; range 20 to 60 years) with pancreatic trauma who were to our emergency unit between 1996-2004. RESULTS: Ten patients had penetrating and three had blunt trauma. The average time between the admission to the emergency unit and the operation was 5.8 hours (1-48 hours). Mortality was 23% (three patients; two of them had major vascular injuries). The most prominent postoperative complication was pleural effusion which was seen in two patients (15%). CONCLUSION: It was recorded that mortality and morbidity were related in great part to the associated organ injury.