Duodenal hematoma after upper endoscopy and biopsy in a 4-year-old girl.
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.
Bechtel
Kirsten
K
Yale University School of Medicine, New Haven, CT, USA. Kirsten.Bechtel@yale.edu
Moss
R Lawrence
RL
Leventhal
John M
JM
Spiro
David
D
Abo
Alyssa
A
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