Duodenal and rectal hematomas complicating endoscopic biopsy: use of sonography in pediatrics.
OBJECTIVE
Intramural duodenal hematomas (IDHs) after nontherapeutic endoscopic biopsy are rare. Rectal hematomas (RHs) have not been reported previously. A review of the literature revealed 18 cases of IDHs.


METHODS
We reviewed 3 cases that occurred within a 4-month period at our institution.


RESULTS
We report a series of 3 cases occurring within a 4-month period. In addition, we report a concurrent RH in 1 of these cases. After becoming symptomatic, 2 of these patients had a diagnosis by computed tomography, the third by sonography. All patients had conservative management and were followed with sonography.


CONCLUSIONS
Sonography was found to be an accurate, safe, and nonionizing way to diagnose and follow hematomas in pediatric patients.
Division of Pediatric Gastroenterology and Nutrition, Mount Sinai School of Medicine, New York, NY 10029, USA. david.dunkin@mssm.edu
David
D
Dunkin
Keith J
KJ
Benkov
Henrietta Kotlus
HK
Rosenberg
D000293:Adolescent; D001706:Biopsy / Q000009:adverse effects*; D002675:Child, Preschool; D004378:Duodenal Diseases / Q000000981:diagnostic imaging* / Q000209:etiology*; D016099:Endoscopy, Gastrointestinal / Q000009:adverse effects*; D005260:Female; D006406:Hematoma / Q000000981:diagnostic imaging* / Q000209:etiology*; D006801:Humans; D007223:Infant; D008297:Male; D012002:Rectal Diseases / Q000000981:diagnostic imaging* / Q000209:etiology*; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity; D014463:Ultrasonography