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

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

Retroperitoneal Air<br />

• Origin <strong>of</strong> retroperitoneal air in asymptom<strong>at</strong>ic<br />

p<strong>at</strong>ients:<br />

• Rel<strong>at</strong>ed to dissection through an injured or<br />

intact bowel (similar to th<strong>at</strong> described after<br />

colonoscopy)<br />

• Sealed microperfor<strong>at</strong>ions<br />

• Presence <strong>of</strong> retroperitoneal air in the absence <strong>of</strong><br />

symptoms should warrant careful observ<strong>at</strong>ion<br />

but may not require intervention

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