Duodenal hematoma: Difference between revisions
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==Complications== | ==Complications== | ||
*Gastric outlet or intestinal obstruction | *Gastric outlet or intestinal obstruction | ||
*Acute pancreatitis | *Acute [[pancreatitis]] | ||
==Disposition== | ==Disposition== | ||
Revision as of 05:34, 16 February 2021
Background[1][2]
- Relatively uncommon, occurs most frequently in children after blunt abdominal trauma
- May also occur as a complication of endoscopy
- Diagnosis difficult as symptoms often delayed
Clinical Features
- Delayed onset of:
- Abdominal pain
- Distension
- Nausea and vomiting
- Hematemesis
- Diminished bowel sounds
Differential Diagnosis
Evaluation
Workup
Diagnosis
Management
- Often resolves spontaneously with NG tube placement, enteral rest, IVF, and pain control
Complications
- Gastric outlet or intestinal obstruction
- Acute pancreatitis
Disposition
See Also
External Links
References
- ↑ Shiozawa K, Watanabe M, Igarashi Y, Matsukiyo Y, Matsui T, Sumino Y. Acute pancreatitis secondary to intramural duodenal hematoma: Case report and literature review. World J Radiol. 2010;2(7):283-288. doi:10.4329/wjr.v2.i7.283
- ↑ Deambrosis K, Subramanya MS, Memon B, Memon MA. Delayed duodenal hematoma and pancreatitis from a seatbelt injury. West J Emerg Med. 2011;12(1):128-130.