A Novel Use of a Gastrojejunostomy Tube for Duodenal Diversion after Traumatic Duodenal Injury.

The article discusses the medical case of a 29-year-old man admitted in a trauma center due to hemorrhagic shock after a transabdominal gunshot. Some injuries noted during a trauma laparotomy include wounds to the right colon, inferior vena cava and duodenum. Procedures done on the patient are also discussed, including repair of the inferior vena cava and a right hemicolectomy with end ileostomy and mucus fistula. Management options for traumatic duodenal injuries include pyloric exclusion with or without gastrojejunostomy.