Endoscopic dilatation as a new technique in managing pediatric duodenal hematoma

A duodenal hematoma secondary to blunt-abdominal trauma is a relatively rare condition and is usually managed conservatively. We report a case of a post-traumatic duodenal hematoma after a road trafficc accident in a 10-year-old boy, who presented with progressive vomiting 3 weeks after the accident...

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Bibliographic Details
Published in:Saudi medical journal 2020-08, Vol.41 (8), p.874-877
Main Authors: Alharbi, Fahad M, Abo Amer, Zaki A, Hamamesh, Khalel H, Algubaisi, Sarah N
Format: Article
Language:English
Subjects:
Abdomen
Abdominal Injuries - complications
Accidents, Traffic
Case Report
Case reports
Child
Dilatation - methods
Duodenal Diseases - diagnostic imaging
Duodenal Diseases - etiology
Duodenal Diseases - therapy
Endoscopy
Endoscopy, Digestive System - methods
Hematoma
Hematoma - diagnostic imaging
Hematoma - etiology
Hematoma - therapy
Humans
Male
Methods
Pediatrics
Small intestine
Tomography, X-Ray Computed
Traffic accidents & safety
Trauma
Treatment Outcome
Vomiting - etiology
Wounds, Nonpenetrating - complications
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Summary:A duodenal hematoma secondary to blunt-abdominal trauma is a relatively rare condition and is usually managed conservatively. We report a case of a post-traumatic duodenal hematoma after a road trafficc accident in a 10-year-old boy, who presented with progressive vomiting 3 weeks after the accident. The case was managed using serial esophagogastroduodenoscopy (EGD) with dilatation. Controlled radial expansion (CRE) balloon dilatation was performed 4 times over a period of 11 weeks. The patient recovered uneventfully and remained asymptomatic at the 3-month follow-up after the last endoscopic dilatation. This case highlights the applicability of EGD with CRE balloon dilatation as an alternative to surgical treatment in patients with symptomatic post-traumatic duodenal hematomas.
ISSN:0379-5284
1658-3175
DOI:10.15537/smj.2020.8.25128