Research Article
Primary Closure without Diversion in Management of Operative Blunt Duodenal Trauma in Children
Table 1
Duodenal injury severity scale.
| Grade | Injury |
| (I) | Hematoma involving single portion of wall Laceration: partial thickness, no perforation |
| (II) | Hematoma involving more than 1 portion Laceration: <50% circumference distribution |
| (III) | Laceration: disruption 50%–75% circumference of 2nd portion Disruption 50%–100% circumference of 1st, 3rd, or 4th portions |
| (IV) | Laceration: disruption of >75% circumference of 2nd portion Involvement of ampulla or distal common bile duct |
| (V) | Laceration: massive disruption of duodenopancreatic complex Duodenal devascularization |
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