Duodenal hematoma

Revision as of 04:45, 11 February 2021 by Elcatracho (talk | contribs) (/* 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,...)

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
    • 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 of intestinal obstruction
  • Acute pancreatitis

Disposition

See Also

External Links

References

  1. 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
  2. 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.