A curious case of spontaneous duodenal haematoma presenting a diagnostic challenge.
Duodenal haematomas are uncommon. They are usually diagnosed on CT of the abdomen. The established treatment strategies are conservative management, surgical evacuation and percutaneous drainage. We present a case of spontaneous duodenal haematoma in a patient with no risk factors posing as a diagnostic challenge due to atypical CT findings. This case also illustrates the utility of ultrasound-guided needle aspiration as a practical treatment option for such haematomas.
Lyell McEwin Hospital, Elizabeth Vale, South Australia, Australia.
Keith
K
Wong
Rebecca
R
Thomas
D000368:Aged; D000369:Aged, 80 and over; D003560:Cysts / Q000000981:diagnostic imaging; D003937:Diagnosis, Differential; D004378:Duodenal Diseases / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000628:therapy; D004386:Duodenum / Q000000981:diagnostic imaging; D061765:Endoscopic Ultrasound-Guided Fine Needle Aspiration; D006406:Hematoma / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000628:therapy; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology; D008297:Male; D014057:Tomography, X-Ray Computed