Duodenal hematoma: Difference between revisions
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(/* BackgroundShiozawa 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.i7.283Deambrosis K,...) |
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==Background<ref>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</ref><ref>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.</ref> | ==Background== | ||
*Relatively uncommon, occurs most frequently in children after blunt abdominal trauma<ref>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</ref><ref>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.</ref> | |||
**May also occur as a complication of endoscopy | **May also occur as a complication of endoscopy | ||
*Diagnosis difficult as symptoms often delayed | *Diagnosis difficult as symptoms often delayed<ref>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</ref><ref>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.</ref> | ||
==Clinical Features== | ==Clinical Features== | ||
Revision as of 10:05, 14 May 2022
Background
- Relatively uncommon, occurs most frequently in children after blunt abdominal trauma[1][2]
- May also occur as a complication of endoscopy
- Diagnosis difficult as symptoms often delayed[3][4]
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.
- ↑ 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.