Iatrogenic Duodenal Injuries - Department of Surgery at SUNY ...
Iatrogenic Duodenal Injuries - Department of Surgery at SUNY ...
Iatrogenic Duodenal Injuries - Department of Surgery at SUNY ...
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
www.downst<strong>at</strong>esurgery.org<br />
Clinical Manifest<strong>at</strong>ions and<br />
Diagnosis<br />
• Perfor<strong>at</strong>ion is rarely evident endoscopically<br />
• Free abdominal perfor<strong>at</strong>ion:<br />
• Almost always recognized immedi<strong>at</strong>ely based upon<br />
clinical symptoms, physical signs and fluoro findings<br />
• Retroduodenal perfor<strong>at</strong>ion:<br />
• Usually determined by the presence <strong>of</strong> air or contrast<br />
in the retroperitoneal space outside the confines <strong>of</strong><br />
the bile ducts and duodenum during CT ordered for<br />
post ERCP pain
Change language