title: Duodenal hematoma after upper endoscopy and biopsy in a 4-year-old girl.
abstract: We describe a 4-year-old girl who developed a duodenal hematoma after upper endoscopy and biopsy. Although rare, duodenal hematoma formation can occur after upper endoscopy and biopsy in otherwise healthy children. A young child presenting with a duodenal hematoma in the absence of a clear mechanism of either previous gastrointestinal procedures or injury to the abdomen should have an extensive evaluation to exclude child abuse. A thorough evaluation for other medical causes, such as a coagulopathy, should be performed simultaneously.
authors.affiliation: Yale University School of Medicine, New Haven, CT, USA. Kirsten.Bechtel@yale.edu
authors.forename: Kirsten
authors.initials: K
authors.lastname: Bechtel
authors.forename: R Lawrence
authors.initials: RL
authors.lastname: Moss
authors.forename: John M
authors.initials: JM
authors.lastname: Leventhal
authors.forename: David
authors.initials: D
authors.lastname: Spiro
authors.forename: Alyssa
authors.initials: A
authors.lastname: Abo
mesh_terms: D001706:Biopsy / Q000009:adverse effects; D002675:Child, Preschool; D004378:Duodenal Diseases / Q000175:diagnosis / Q000209:etiology*; D016099:Endoscopy, Gastrointestinal / Q000009:adverse effects*; D005260:Female; D006406:Hematoma / Q000175:diagnosis / Q000209:etiology*; D006801:Humans