Duodenal hematoma

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
- Nausea and vomiting
- Hematemesis
- Diminished bowel sounds

Differential Diagnosis

Evaluation

Management

Often resolves spontaneously with NG tube placement, enteral rest, IVF, and pain control

Complications

Gastric outlet or intestinal obstruction
Acute pancreatitis

Disposition

See Also

External Links

References

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
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.

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