Divakar Goyal, Awaneesh Katiyar, Vishal Patil, Ajay Dhiman and Ajay Kumar
Duodenal injuries constitute around 5% of all abdominal traumas duodenal injuries associated with the highest mortality and morbidity rate because of their complex anatomy. Duodenal injuries managed surgically with adjuncts like pyloric exclusion and triple tube diversion, though primary repair still an option for low- grade injuries. In our case, where a 14-year-old boy with grade 3 duodenal injury has been managed with direct repair with duodeno-gastrostomy and without postoperative complications D2 Gastrostomy is a good option in high-grade D1 and Proximal D2 injuries. Even if the procedure fails, you will remains have more options for reconstruction. Though there is insufficient data available to recommend the treatment of choice, hemodynamic stability and rich vascular supply remains the mainstay of guiding management in these patients.
