Trauma pancreático-duodenal por traumatismo abdominal cerrado en paciente con covid-19, a propósito de un caso

Abstract

Duodenal and pancreatic trauma are rare and occur in 3-5% of all non-penetrating abdominal traumas. Both the morbidity and mortality increase highly in relation to the degree of trauma, its possible complications and any injuries associated to the affected area. Moreover, approximately 75% to 85% of blunt injuries to the duodenum and pancreas are caused by motor vehicle collisions. For instance in the following case, a 20-year-old male patient who has been involved in a traffic accident while driving a motorcycle under the influence of alcohol loses control of his vehicle and collides with the handlebar. In consequence abdominal pain in the epigastrium and hypochondria are felt by the patient. It is important to report that the pain was of great intensity, which was further followed by nausea and vomiting on 2 occasions (food content in moderate quantity). It is worth mentioning that the patient was reported as positive for COVID-19, so in this context it is important to carefully evaluate the associated risks of surgery and COVID-19, in addition to the delay in surgical intervention that may occur, thus increasing the mortality of the patient. Yhe objective of this case is to analyze and present the guidelines for diagnosis and management based on the latest updated evidence