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.

References

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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. ajcr [Internet]. 23Sep.2018 [cited 16Dec.2018];9(3):18. Available from: http://www.apspjcaserep.com/ojs1/index.php/ajcr/article/view/42