Duodenal hematoma in pediatric age: a rare case report

In pediatric age, duodenal hematoma is rare and generally occurs following a closed abdominal trauma due to the crushing of the duodenum against the rigid plane of the spine; it rarely follows anticoagulant therapy, pancreatitis, bleeding disorders, vasculitis, tumors or upper digestive endoscopy. D...

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Bibliographic Details
Published in:Journal of ultrasound 2022-06, Vol.25 (2), p.349-354
Main Authors: Brillantino, Carmela, Rossi, Eugenio, Baldari, Diana, Minelli, Rocco, Bignardi, Elio, Paviglianiti, Giuseppe, Restivo, Giulia, Cangemi, Maria A., Zeccolini, Raffaele, Zeccolini, Massimo
Format: Article
Language:English
Subjects:
Acute Disease
Case Report
Case reports
Child
Duodenal Diseases - complications
Duodenal Diseases - diagnostic imaging
Esophagus
Gastrointestinal Hemorrhage - complications
Gastrointestinal system
Hematoma
Hematoma - diagnostic imaging
Hematoma - etiology
Hematoma - therapy
Humans
Male
Medicine
Medicine & Public Health
Pancreatitis
Pancreatitis - complications
Pediatrics
Ultrasound
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Summary:In pediatric age, duodenal hematoma is rare and generally occurs following a closed abdominal trauma due to the crushing of the duodenum against the rigid plane of the spine; it rarely follows anticoagulant therapy, pancreatitis, bleeding disorders, vasculitis, tumors or upper digestive endoscopy. Duodenal hematoma is a rare cause of obstruction of the upper gastrointestinal tract and acute pancreatitis, and the diagnosis is sometimes difficult and late. On the other hand, the identification of the pathology in its initial stages allows the young patients to be subjected to a conservative treatment that resolves the issue most of the time, thus avoiding surgery. In this article we describe an unusual case of duodenal hematoma, following esophagus-gastro-duodenoscopy, in a 12-year-old boy with Di George syndrome.
ISSN:1876-7931
1971-3495
1876-7931
DOI:10.1007/s40477-020-00545-9