title: Postendoscopic duodenal hematoma in children: ultrasound diagnosis and follow-up.
abstract: Intramural duodenal hematomas have most frequently been reported in children in a traumatic setting. We present two cases of duodenal hematoma that occurred after upper gastrointestinal tract endoscopy with biopsy in children without significant prior medical history. The diagnosis was made by ultrasound, in correlation with the clinical presentation. Because the patients were hemodynamically stable, they were treated conservatively and the regression of the hematoma was followed up with ultrasound until its complete resolution. These cases demonstrate the risks of endoscopy, which are not to be neglected even in children without impaired coagulation, and the manner in which ultrasound can provide the correct diagnosis and follow-up.
authors.affiliation: Cliniques Universitaires Saint Luc, Department of Radiology, Pediatric Radiology Unit, Université Catholique de Louvain, Brussels, Belgium.
authors.forename: Dana
authors.initials: D
authors.lastname: Dumitriu
authors.forename: Renaud
authors.initials: R
authors.lastname: Menten
authors.forename: Françoise
authors.initials: F
authors.lastname: Smets
authors.forename: Philippe
authors.initials: P
authors.lastname: Clapuyt
mesh_terms: D002648:Child; D003937:Diagnosis, Differential; D004378:Duodenal Diseases / Q000000981:diagnostic imaging* / Q000209:etiology; D004386:Duodenum / Q000000981:diagnostic imaging; D016099:Endoscopy, Gastrointestinal / Q000009:adverse effects*; D005260:Female; D005500:Follow-Up Studies; D006406:Hematoma / Q000000981:diagnostic imaging* / Q000209:etiology; D006801:Humans; D008297:Male; D014463:Ultrasonography
keywords: duodenal hematoma; endoscopy; gastrointestinal tract; pediatrics; ultrasound