[Intramural duodenal hematoma after blunt abdominal injury in childhood. Case report].
Gastrointestinal injuries after blunt abdominal trauma in childhood are seldom. In 30% of the patients, the site of injury is the duodenum. In 60% associated injuries including other abdominal or extraabdominal lesions are found. Most frequently duodenal damage consists in parietal haematoma, seldom in duodenal laceration. Duodenal haematoma can be resolved non-operatively in 50%. Operation is recommended for children in whom there is no evidence of partial resolution of the obstruction after 10-14 days or in cases with development of a parietal laceration with peritonitis and/or retroperitonitis. For diagnostic computed tomography is the examination of choice.
Chirurgische Klinik, Kantonsspital Aarau.
F
F
Fasolini
P
P
Lichtenhahn
P
P
Aeberhard
D002675:Child, Preschool; D004378:Duodenal Diseases / Q000000981:diagnostic imaging / Q000628:therapy*; D004380:Duodenal Obstruction / Q000000981:diagnostic imaging / Q000628:therapy; D004386:Duodenum / Q000000981:diagnostic imaging / Q000293:injuries*; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000000981:diagnostic imaging / Q000628:therapy*; D006406:Hematoma / Q000000981:diagnostic imaging / Q000628:therapy*; D006801:Humans; D010289:Parenteral Nutrition, Total; D012075:Remission, Spontaneous; D014057:Tomography, X-Ray Computed; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging / Q000628:therapy*
Intramurales Duodenalhämatom nach stumpfem Bauchtrauma im Kindesalter. Fallbeschreibung.