Abdominal wall defect with large duodenal disruption treated by a free tissue flap with a help of temporary expandable metallic stent

• Published in: Annals of surgical treatment and research Vol. 85; no. 5; pp. 240 - 243
• Main Authors: Jung-Hoon Park, Suk-kyung Hong, Ho-Young Song, Eun Key Kim, Sung Koo Lee, Yooun Joong Jung
• Format: Journal Article
• Language: English
• Published: 대한외과학회 01.11.2013
• Subjects: 일반외과학; Abdominal wall; Duodenum; Free tissue flaps; Stents; Abdominal injury
• ISSN: 2288-6575; 2288-6796

Abdominal wall defect with large duodenal disruption after penetrating abdominal injury is a rare emergency situation that can result in life-threatening compli cations. We report on a 64-year-old man who had abdominal wall defect with large duodenal disruption after penetrating abdominal injury. The patient presented with intra-abdominal exsanguinating bleeding, duodenal disruption, and multiple small bowel perforation. The rarity of this complex injury and its initial presentation as a posttraumatic large duodenal disruption with abdominal wall defect warrant its description. The present case indicates that combining a free tissue flap with a covered expandable metallic stent can effectively and successfully repair an abdominal wall defect that is associated with a large duodenal disruption. KCI Citation Count: 0