Post-Traumatic Duodenal Intramural Haematoma: A Reason for Upper Segment Alimentary Tract Obstruction

Open access

Post-Traumatic Duodenal Intramural Haematoma: A Reason for Upper Segment Alimentary Tract Obstruction

A case of post-traumatic intramural haematoma of the duodenum is presented in this report. The patient was admitted to the unit after multiorgan injury. Preliminary examination (X-ray, USG - diagnosis, paracentesis of the abdominal cavity) showed abdominal hemorrhage. The patient was urgently operated on (splenectomy and partial small bowel resection). The post-surgical period was complicated by intramural duodenal haematoma, which blocked the passage of chyme to distal portions of the alimentary tract. The patient was treated conservatively. On postoperative day 9, the ailment receded. The patient was discharged from the hospital in good general condition.

Jewett TC Jr., Caldarola V, Karp MP: Intramural heamatoma of the duodenum. Department of Surgery, State University of New York, Buffalo. Arch Surg 1988; 123: 54-58.

Iuchtman M, Steiner T, Faierman T al.: Post-traumatic intramural duodenal hematoma in children Department of Pediatric Surgery, Hillel Yaffe Medical Center, Hadera, Israel Isr Med Assoc J 2006; 8(2): 95-97.

Ciesla DJ, Burch JM: Pancreatic and duodenal injuries John L. Cameron: Current surgical therapy 8th ed., Philadelphia, Mosby 2004; 959-63.

Lorente-Ramos RM, Santiago-Hernando A, Del Valle-Sanz Y: Sonographic diagnosis of intramural duodenal hematomas Hospital Universitario La Paz, Madrid, Spain. J Clin Ulrasound 1999; 27(4): 213-16.

Kocaoglu M, Ors F, Bulakbasi N, Ucoz T: Duodenal intramural hematoma due to blunt abdominal trauma. Turkish Journal of Trauma & Emergency Surgery 2005; 165-67.

Desai KM, Dorward IG, Minkes RK: Blunt duodenal injuries in children Department of Surgery, Washington University School of Medicine St. Louis Children's Hospital, Missouri 63110, USA. J Trauma 2003; 54(4): 640-45.

Hill H, Deppe H, Huchzermeyer H: Duodenal ileus due to an intramural duodenal haematoma. Coservative therapy using e multiple lumen intestinal probe. Dtsch Med Wochenschr 2005; 130(3): 92-94.

Lopez PP, Bejamin R, Cockburn M et al.: Recent trends in the management of combined pancreatoduodenal injuries Division of Trauma&Surgical Critical Care, DeWitt Daughtry Family Department of Surgery, University of Miami School of Medicine, Miami FL 33101, USA. Am Surg 2005; 71(10): 847-52.

Rickard MJ, Brohi K, Bautz PC: Pancreatic and duodenal ijuries: keep it simple Department of Colorectal Surgery, Cocord Hospital, Sydey, New South Wales, Australia. ANZ J Surg 2005; 75(7): 581-86.

Degiannis E, Boffard K: Duodenal injuries. Br J Surg 2000; 87: 1473.

Gulloto C, Paulson EK: CT - guided percutaneons drainage of a duodenal hematoma. Am J Roentgend 2005; 184: 231.

Loyd GM et al.: Case of duodenal haematoma treated with ultrasound guided drainge. ANZ J Surg 2004; 74(6): 500.

Polish Journal of Surgery

The Journal of Foundation of the Polish Journal of Surgery

Journal Information


CiteScore 2016: 0.29

SCImago Journal Rank (SJR) 2016: 0.166
Source Normalized Impact per Paper (SNIP) 2016: 0.207

Metrics

All Time Past Year Past 30 Days
Abstract Views 0 0 0
Full Text Views 80 49 9
PDF Downloads 57 38 7