Clinical images. Delayed duodenal intramural hematoma with obstruction.
An intramural duodenal hematoma with duodenal obstruction is usually a complication of blunt abdominal trauma, endoscopic biopsy, or peptic ulcer disease. Possible management strategies include conservative treatment, surgical evacuation, and percutaneous or endoscopic drainage. We report on a 40-year-old man with a remote history of trauma who presented with vomiting for 3 days. At surgery, he was found to have an intramural duodenal hematoma causing obstruction.
Chang
Chen-Wang
CW
Division of Gastroenterology, Department of Internal Medicine, Mackay Memorial Hospital, 92, Sec 2, Chung-Shan N Road, Taipei, Taiwan.
Chen
Ming-Jen
MJ
Shih
Shou-Chuan
SC
Wang
Horng-Yuan
HY
Tsai
Chung-Hsin
CH
Wang
Tsang-En
TE
Chang
Wen-Hsiung
WH
D000328:Adult; D003937:Diagnosis, Differential; D004378:Duodenal Diseases / Q000000981:diagnostic imaging* / Q000601:surgery*; D004380:Duodenal Obstruction / Q000000981:diagnostic imaging* / Q000601:surgery*; D006406:Hematoma / Q000000981:diagnostic imaging* / Q000601:surgery*; D006801:Humans; D008297:Male; D014057:Tomography, X-Ray Computed