• A Celik, E Altinli, N Koksal, E Onur, A Sumer, M Ali Uzun, and M Kayahan.
• 2nd Department of General Surgery, Haydarpasa Numune Training and Research Hospital, Istanbul, Turkey. dratillacelik@yahoo.com.
• Eur J Trauma Emerg S. 2010 Dec 1;36(6):573-8.

IntroductionDuodenal injuries are uncommon and are associated with significant morbidity and mortality due to delayed diagnosis (in the case of blunt trauma) or associated major vascular injuries (in the case of penetrating trauma). Isolated blunt injuries may have a subtle clinical presentation, and are particularly difficult to diagnose when the perforation is located in the retroperitoneal part of the duodenum.Materials And MethodsThis paper presents in company with three cases of successfully treated isolated duodenal injuries due to blunt trauma, focusing on with their preoperative diagnosis, surgical management and final out comes.ConclusionsEarly diagnosis and successful surgical planning require experience and clinical suspicion on the part of the surgeon, as well as meticulous laparotomy results.

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