The severity of traumatic injury to the duodenum can be graded based on 5 clinical parameters associated with the injury.
Parameters:
(1) agent of injury
(2) circumference of wall involved
(3) portion of the duodenum involved
(4) interval in hours from time of injury to time of repair
(5) injury also involving the common bile duct
Parameter |
Mild |
Severe |
agent for injury |
stab |
blunt, or missile |
size |
< 75% of wall |
>= 75% of wall |
portion of duodenum involved |
part 3 and/or 4 |
part 1 and/or 2 |
interval in hours from injury to repair |
< 24 hours |
>= 24 hours |
injury to common bile duct |
absent |
present |
after Table 1, page 534
where:
• The original table had only "<" and ">" for size and interval.
Interpretation:
• If any of the features associated with a severe injury are present, then the injury is considered severe.
Specialty: Surgery, orthopedic, Emergency Medicine, Critical Care, Surgery, general, Gastroenterology
ICD-10: ,