A retrospective analysis of 18 cases of duodenal trauma is presented. Perforations (in 10 cases) were sutured in two layers, using absorbable material, and intramural hematomas (8 cases) were left to resolve spontaneously. Nasogastric intubation was the only method of intestinal decompression, and was used in both patient groups. There were no direct duodenal complications. The mean hospital stay was 14 days. Primary repair with absorbable sutures combined with a few days of nasogastric decompression seems to be a safe and adequate method of managing uncomplicated duodenal perforations. Intramural duodenal hematomas need no intervention except nasogastric decompression.