Abstract
INTRODUCTION THE duodenum is uncommonly injured in blunt abdominal trauma. Ten per cent of patients undergoing operation for blunt abdominal trauma have intestinal injuries (Cox, unpublished results). Ten per cent of these intestinal injuries are duodenal (Hawkins and Mullen, 1974). The evaluation of duodenal trauma is most difftcult because of its retroperitoneal position. The diagnosis is missed in as many as 10 -20 per cent of cases, and in those cases the mortality may be as high as 77 per cent (Kelly et al., 1978; King and Provan, 1974). The preoperative evaluation of this injury is often unrewarding. The following cases of duodenal injury are presented to show the difficulty in diagnosis as well as to suggest a method for the intraoperative delineation of the injury.
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