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