A Case Report of Isolated Rupture of the Third Part of the Duodenum Due to Blunt Abdominal Trauma

As a retroperitoneal organ, duodenal injuries following blunt abdominal trauma is rare and constitutes only 22% of all duodenal injuries (3%-5%). It often occurs after severe and suddenly blows to the upper abdomen or abdominal compression from high-riding seat belts. It is difficult to have a primary and proper diagnosis despite advances in the laboratory and imaging techniques. Here, we present a case of isolated rupture of the third part of the duodenum due to blunt abdominal trauma, resulting from motorcycle accident. The rupture was diagnosed and repaired while the patient underwent laparotomy surgery only according to physical examination (guarding, tenderness, rebound tenderness), whereas all of the laboratory and imaging findings were normal. After seven days and patient’s ability to eat meal, the patient was discharged without any complication.