Pediatric duodenal stenosis caused by posttraumatic mesenteric hematoma managed with a double elementary diet tube

A 6-year-old male child was admitted to the hospital because of abdominal trauma and acute stomach pain. Computed tomography scan revealed a jejunal mesenteric hematoma and an enhanced intestinal wall compressed by the hematoma. The patient presented with vomiting 10 days after the injury. He underw...

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Bibliographic Details
Published in:Trauma case reports 2024-08, Vol.52, p.101060, Article 101060
Main Authors: Shibuya, Hirotaka, Sato, Keita, Hashiba, Natsuki, Yamauchi, Yosuke, Tamura, Yoshihisa, Sugimoto, Shinya, Takahashi, Koji
Format: Article
Language:English
Subjects:
Double elementary diet tube
Duodenal stenosis
Duodenal trauma
Mesenteric hematoma
Pediatric trauma
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Summary:A 6-year-old male child was admitted to the hospital because of abdominal trauma and acute stomach pain. Computed tomography scan revealed a jejunal mesenteric hematoma and an enhanced intestinal wall compressed by the hematoma. The patient presented with vomiting 10 days after the injury. He underwent upper endoscopy under tracheal intubation and general anesthesia 12 days after the injury. A double elementary diet tube was inserted endoscopically with the tip placed in the jejunum beyond the stenosis and the decompressed portion of the stomach. Stenosis was improving, and the patient was discharged on the 27th day after the injury. In conclusion, a double elementary diet tube can be effective for treating posttraumatic duodenal stenosis in pediatric patients.
ISSN:2352-6440
2352-6440
DOI:10.1016/j.tcr.2024.101060