Duodenal blow out which is done: (A) Transcutaneous peritoneal drainage, (B) Secondary closure, (C) Re-exploration, (D) None
Answer is A. Answer- A. Transcutaneous peritoneal drainageDuodenal blow out is massive leakage from duodenal stump following Bilroth II gastrectomy.Clinical featuresIt usually occurs on 2nd to 7th postoperative days.It usually presents as: -Sudden intense thoracoabdominal painSudden elevation in pulse and temperatureGeneral deterioration of conditionTreatment-Total parenteral nutritionFistula closure can be anticipated within 2-3 weeks.Adequate drainage