South African Journal of Surgery
On-line version ISSN 2078-5151
LAING, G L; GHIMENTON, F and CLARKE, D L. A paediatric case of AAST grade IV duodenal injury with application of damage control surgery. S. Afr. j. surg. [online]. 2013, vol.51, n.3, pp. 111-112. ISSN 2078-5151.
Isolated severe blunt duodenal injuries are rare. We present an American Association for the Surgery of Trauma grade IV duodenal injury in a paediatric patient. The strategic use of damage control surgical principles, involving an initial abbreviated laparotomy followed by a delayed reconstruction, resulted in a successful outcome.