blunt duodenal trauma

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Mathias

If the CT was without contrast it should be useful. If the CT was with
contrast and there was no obvious leak then no need to repeat / do a
contrast study

Tim
Dr Timothy C Hardcastle
M.B., Ch.B. (Stell); M. Med (Chir) (Stell); FCS (SA)
Principal Surgeon-Lecturer / Sub-specialist: Trauma and Critical Care
Deputy director: Trauma Unit and Trauma ICU
Inkosi Albert Luthuli Central Hospital / UKZN
800 Bellair Road
Mayville, Durban
 
Postal: PostNet Suite 27
Private Bag X05
Malvern, 4055
KwaZulu Natal
 
timothyhar at ialch.co.za 
 

-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org] On Behalf Of Mathias Kalkum
Sent: 07 July 2008 11:42
To: Trauma & Critical Care mailing list
Subject: Re: blunt duodenal trauma

Tim,

thank you for the quick answer!

> NGT to decompress the stomach and D1 - contrast to ensure that there
is
> no leak from the bowel 

the CT is less than an hour old - are you sure to do a contrast study 
now? I will talk to the radiologist.

(yes, I know it is not 100% reliable, but its all
> you've got if you want to be conservative)

You bet'ya ;-)

Take care!

Mathias
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