Intramural Duodenal Hematoma In 2-year Old Child
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.
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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.
Copyright (c) 2018 Dayanand Hota, Kamal Nain Rattan, Ahmad Khursheed, Manish Swami, Harish Bhardwaj
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