c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Duodenal Perforation: 4

A D V E R T I S E M E N T

   
 

The patient was stable enough to undergo upper GI fluoro which showed a normal esophagus.       

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Duodenal Perforation: 5

A D V E R T I S E M E N T

   
 

The gastric contrast was interpreted as showing a leak. The patient was taken urgently to the operating room where the stomach was found to be normal. On mobilizing (Kocherizing, see Whipple procedure) the duodenum, a retroperitoneal perforation was found in the second (D2) portion. The hole was closed primarily and an omental patch was applied.     

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This page was last modified on 2/22/2008.