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Pediatric blunt abdominal trauma with horizontal duodenal injury in school baseball: A case report

RATIONALE: Pediatric sports injuries, including those from baseball, most often are musculoskeletal injuries and rarely include blunt abdominal injuries. Duodenal injury is rare and often associated with other organ injuries. Because it has a relatively high mortality, early recognition and timely t...

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Autores principales: Tokumaru, Teppei, Eifuku, Ryozo, Sai, Kenichi, Kurata, Hideaki, Hata, Michiaki, Tomioka, Joji
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10545394/
https://www.ncbi.nlm.nih.gov/pubmed/33466171
http://dx.doi.org/10.1097/MD.0000000000024089
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author Tokumaru, Teppei
Eifuku, Ryozo
Sai, Kenichi
Kurata, Hideaki
Hata, Michiaki
Tomioka, Joji
author_facet Tokumaru, Teppei
Eifuku, Ryozo
Sai, Kenichi
Kurata, Hideaki
Hata, Michiaki
Tomioka, Joji
author_sort Tokumaru, Teppei
collection PubMed
description RATIONALE: Pediatric sports injuries, including those from baseball, most often are musculoskeletal injuries and rarely include blunt abdominal injuries. Duodenal injury is rare and often associated with other organ injuries. Because it has a relatively high mortality, early recognition and timely treatment are needed. Here, we report a case of successful treatment of a pediatric patient with duodenal injury incurred in the context of school baseball. PATIENT CONCERNS: A 13-year-old boy suffered blunt abdominal trauma and a right-hand injury caused by beating his abdomen strongly with his own right knuckle after he performed a diving catch during a baseball game. On the following day, the abdominal pain had worsened. DIAGNOSES: Computed tomography led to a suspicion of injury to the horizontal part of the duodenum. INTERVENTIONS: The duodenal injuries were repaired by simple closure. On the 10th post-operative day, an abscess formed in the retroperitoneal cavity because of an occult pancreatic injury. Ultrasound-guided percutaneous drainage of the cavity was performed. OUTCOMES: The post-operative course of the abscess drainage was uneventful. The patient was discharged from our hospital on day 72 after admission and was in good health at the 9-month follow-up. LESSONS: Regardless of the type of injury, we must assess the life-threatening conditions that can be expected based on the mechanism of the injury. In duodenal injuries, it is critical to perform surgical procedures and post-operative management based on the assumption of injuries to other organs.
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spelling pubmed-105453942023-10-03 Pediatric blunt abdominal trauma with horizontal duodenal injury in school baseball: A case report Tokumaru, Teppei Eifuku, Ryozo Sai, Kenichi Kurata, Hideaki Hata, Michiaki Tomioka, Joji Medicine (Baltimore) 3900 RATIONALE: Pediatric sports injuries, including those from baseball, most often are musculoskeletal injuries and rarely include blunt abdominal injuries. Duodenal injury is rare and often associated with other organ injuries. Because it has a relatively high mortality, early recognition and timely treatment are needed. Here, we report a case of successful treatment of a pediatric patient with duodenal injury incurred in the context of school baseball. PATIENT CONCERNS: A 13-year-old boy suffered blunt abdominal trauma and a right-hand injury caused by beating his abdomen strongly with his own right knuckle after he performed a diving catch during a baseball game. On the following day, the abdominal pain had worsened. DIAGNOSES: Computed tomography led to a suspicion of injury to the horizontal part of the duodenum. INTERVENTIONS: The duodenal injuries were repaired by simple closure. On the 10th post-operative day, an abscess formed in the retroperitoneal cavity because of an occult pancreatic injury. Ultrasound-guided percutaneous drainage of the cavity was performed. OUTCOMES: The post-operative course of the abscess drainage was uneventful. The patient was discharged from our hospital on day 72 after admission and was in good health at the 9-month follow-up. LESSONS: Regardless of the type of injury, we must assess the life-threatening conditions that can be expected based on the mechanism of the injury. In duodenal injuries, it is critical to perform surgical procedures and post-operative management based on the assumption of injuries to other organs. Lippincott Williams & Wilkins 2021-01-15 /pmc/articles/PMC10545394/ /pubmed/33466171 http://dx.doi.org/10.1097/MD.0000000000024089 Text en Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0 (https://creativecommons.org/licenses/by/4.0/)
spellingShingle 3900
Tokumaru, Teppei
Eifuku, Ryozo
Sai, Kenichi
Kurata, Hideaki
Hata, Michiaki
Tomioka, Joji
Pediatric blunt abdominal trauma with horizontal duodenal injury in school baseball: A case report
title Pediatric blunt abdominal trauma with horizontal duodenal injury in school baseball: A case report
title_full Pediatric blunt abdominal trauma with horizontal duodenal injury in school baseball: A case report
title_fullStr Pediatric blunt abdominal trauma with horizontal duodenal injury in school baseball: A case report
title_full_unstemmed Pediatric blunt abdominal trauma with horizontal duodenal injury in school baseball: A case report
title_short Pediatric blunt abdominal trauma with horizontal duodenal injury in school baseball: A case report
title_sort pediatric blunt abdominal trauma with horizontal duodenal injury in school baseball: a case report
topic 3900
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10545394/
https://www.ncbi.nlm.nih.gov/pubmed/33466171
http://dx.doi.org/10.1097/MD.0000000000024089
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