Traumatismos duodenales: Lesiones complejas

Traumatic duodenal lesions are infrequent, representing approximately 4% of abdominal lesions. However, these injuries produce considerable morbidity and mortality and consequently early identification and treatment are essential.This study aims to present a concise description of the historical perspective and anatomy of the duodenum. The latter is of special interest in the classification and management of duodenal lesions. In addition, we describe the diagnostic methods available for the evaluation of duodenal trauma and the importance of broad knowledge of the most commonly used surgical techniques. Finally, based on an extensive review of the current literature, we provide an indepth analysis of the range of morbidity and mortality of these lesions and describe our experience in the management of this type of injury in a level I urban trauma center.