title: [Intramural duodenal hematoma and acute pancreatitis as a complication of diagnostic biopsy of a duodenal 6-year-old boy].
abstract: Hematoma duodenum is a very rare complication of diagnostic endoscopy of the upper gastrointestinal tract when biopsy of the duodenum is performed (average frequency is estimated as 1:1,250 biopsies). Most often, it affects children and young adults without any risk factors. Symptoms result from obstruction of the duodenum and compression of the adjacent structures. Conservative treatment, which consists of parenteral nutrition and aspiration of gastric contents until the absorption of hematoma and patency of the gastrointestinal tract returns, is preferred. This paper describes a 6-year-old boy diagnosed due to short stature and low weight in whom the diagnostic biopsy of the duodenum caused formation of a hematoma in the descending duodenum and led to total ileus and acute pancreatitis. The boy was treated conservatively with good result and complete resolution of symptoms was achived.
authors.affiliation: II Katedra i Klinika Pediatrii, Gastroenterologii i Żywienia UM we Wrocławiu, ul. Skłodowskiej-Curie 50/52, 50-369 Wrocław tel. (+48 71) 770-30-45 fax (+48 71) 770-30-46 e-mail: ellak@op.pl.
authors.forename: Elżbieta
authors.initials: E
authors.lastname: Krzesiek
authors.affiliation: II Katedra i Klinika Pediatrii, Gastroenterologii i Żywienia UM we Wrocławiu.
authors.forename: Barbara
authors.initials: B
authors.lastname: Iwańczak
authors.affiliation: Zakład Radiologii Ogolnej i Pediatrycznej Katedry Radiologii UM we Wrocławiu.
authors.forename: Urszula
authors.initials: U
authors.lastname: Zaleska-Dorobisz
authors.affiliation: Katedra i Klinika Chirurgii Dziecięcej i Urologii UM we Wrocławiu.
authors.forename: Dariusz
authors.initials: D
authors.lastname: Patkowski
mesh_terms: D001706:Biopsy / Q000009:adverse effects*; D002648:Child; D004380:Duodenal Obstruction / Q000209:etiology* / Q000628:therapy; D004386:Duodenum / Q000293:injuries*; D006406:Hematoma / Q000209:etiology* / Q000628:therapy; D006801:Humans; D007413:Intestinal Mucosa / Q000293:injuries; D008297:Male; D010195:Pancreatitis / Q000209:etiology* / Q000628:therapy
keywords: biopsy of the duodenum; children; intramural duodenal hematoma