ABSTRACT
Introduction D u o d en al injuries are o ften silent, easily m issed an d qu ite lethal. T h ey are gener
ally p resen t in association w ith m an y o th er in traab d o m in al injuries. Delays in d iag nosis a n d repair can m ake surgical m an ag em en t a m ore com plex an d technically challenging endeavor an d increase an already heavy b u rd en o f m o rb id ity an d m o r tality. Early diagnosis an d repair are the keys to achieving survival and good outcom es.