Intramural Duodenal Hematoma In 2-year Old Child

  • Dayanand Hota
  • Kamal Nain Rattan
  • Ahmad Khursheed
  • Manish Swami
  • Harish Bhardwaj
Keywords: Duodenal obstruction, Intramural duodenal hematoma, Bilious vomiting

Abstract

Background: Intramural hematoma of the duodenum is a rare cause of acquired duodenal obstruction. It is often a diagnostic dilemma and a high degree of suspicion is required to make an early and accurate diagnosis in children.

Case Report: A 2-year-old child presented with bilious vomiting and abdominal distension. X-ray abdomen showed high intestinal obstruction. Ultrasound and CT scan abdomen gave suspicion of pancreatic pseudo-cyst near head of pancreas. At surgery, an intramural hematoma of the duodenum was found and drained.

Conclusion: Intramural duodenal hematoma is a rare entity especially in children and should be considered in differential diagnosis of acquired duodenal obstruction.

Downloads

Download data is not yet available.

References

Iuchtman M, Steiner T, Faierman T, Breitgand A, Bartal G. Post-traumatic intramural duodenal hematoma in children. Isr Med Assoc J. 2006; 8:95-7.

Lam JPH, Eunson GJ, Munro FD, Orr JD. Delayed presentation of handlebar injuries in children. BMJ. 2001; 322:1288-9.

Stiekema J, Derikx JPM. Abdominal handlebar injury. JAMA Surg [Internet]. [cited 2017 Dec 20]; Available from: https://jamanetwork.com/journals/jamasurgery/fullarticle/2664656

Desai KM, Dorward IG, Minkes RK, Dillon PA. Blunt du-odenal injuries in children. J Trauma Acute Care Surg. 2003;54:640-6.

Peterson ML, Abbas PI, Fallon SC, Naik-Mathuria BJ, Rodriguez JR. Management of traumatic duodenal he-matomas in children. J Surg Res. 2015;199:126-9.

Published
2018-09-23
How to Cite
1.
Hota D, Rattan K, Khursheed A, Swami M, Bhardwaj H. Intramural Duodenal Hematoma In 2-year Old Child. APSP J Case Rep [Internet]. 23Sep.2018 [cited 23Sep.2019];9(3):18. Available from: http://www.apspjcaserep.com/ojs1/index.php/ajcr/article/view/42