title: Clinical images. Delayed duodenal intramural hematoma with obstruction.
abstract: 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.
authors.affiliation: Division of Gastroenterology, Department of Internal Medicine, Mackay Memorial Hospital, 92, Sec 2, Chung-Shan N Road, Taipei, Taiwan.
authors.forename: Chen-Wang
authors.initials: CW
authors.lastname: Chang
authors.forename: Ming-Jen
authors.initials: MJ
authors.lastname: Chen
authors.forename: Shou-Chuan
authors.initials: SC
authors.lastname: Shih
authors.forename: Horng-Yuan
authors.initials: HY
authors.lastname: Wang
authors.forename: Chung-Hsin
authors.initials: CH
authors.lastname: Tsai
authors.forename: Tsang-En
authors.initials: TE
authors.lastname: Wang
authors.forename: Wen-Hsiung
authors.initials: WH
authors.lastname: Chang
mesh_terms: 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