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Iatrogenic Duodenal Injuries - Department of Surgery at SUNY ...

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www.downst<strong>at</strong>esurgery.org<br />

Clinical Manifest<strong>at</strong>ions and<br />

Diagnosis<br />

• P<strong>at</strong>ients with undetected leaks can present<br />

hours after the procedure with pain, fever and<br />

leukocytosis<br />

• Other findings:<br />

• Gas in the portal system<br />

• Pneumothorax<br />

• Pneumomediastinum<br />

• Pneumoretroperitoneum<br />

• Pneumoperitoneum<br />

• Subcutaneous emphysema

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