Browse > Article
http://dx.doi.org/10.20408/jti.2019.042

Delayed Manifestation of Isolated Intramural Hematoma of the Duodenum Resulting from Blunt Abdominal Trauma  

Ha, Tae Sun (Department of Surgery, Soonchunhyang University Bucheon Hospital)
Chung, Jun Chul (Department of Surgery, Soonchunhyang University Bucheon Hospital)
Publication Information
Journal of Trauma and Injury / v.33, no.1, 2020 , pp. 53-58 More about this Journal
Abstract
Duodenal injury following blunt abdominal trauma is a relatively unusual complication, and it may sometimes be difficult to distinguish a duodenal hematoma from duodenal perforation. According to recent reports, intramural hematomas typically resolve spontaneously with conservative treatment. Surgery, however, is occasionally necessary in some cases if the diagnosis is delayed, conservative therapy fails, or a high degree of suspicion of duodenal injury persists. We experienced a case of delayed manifestation of a duodenal intramural hematoma that was surgically treated.
Keywords
Hematoma; Blunt abdominal trauma; Duodenum;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Chen GQ, Yang H. Management of duodenal trauma. Chin J Traumatol 2011;14:61-4.
2 Desai KM, Dorward IG, Minkes RK, Dillon PA. Blunt duodenal injuries in children. J Trauma 2003;54:640-6; discussion 645-6.   DOI
3 Carrillo EH, Richardson JD, Miller FB. Evolution in the management of duodenal injuries. J Trauma 1996;40:1037-45; discussion 1045-6.   DOI
4 Sul YH, Cheon KS, Jang CE, Lee KH, Lee SI, Song IS. Isolated duodenal injury following blunt abdominal trauma. J Trauma Injury 2015;28:47-50.   DOI
5 Ivatury RR, Malhotra AK, Aboutanos MB, Duane TM. Duodenal injuries: a review. Eur J Trauma Emerg Surg 2007;33:231-7.   DOI
6 Jang H, Jun SY, Choi YC. Nonoperative management of a traumatic intramural hematoma of the duodenum-report of two cases-. J Korean Soc Traumatol 2001;14:166-70.
7 Baeck CW, Chun HJ, Chun HR, Yu SK, Kim YS, Jeen YT, et al. A case of idiopathic duodenal intramural hematoma. Korean J Gastrointest Endosc 2005;30:91-4.
8 Niehues SM, Denecke T, Bassir C, Hamm B, Haas M. Intramural duodenal hematoma: clinical course and imaging findings. Acta Radiol Open 2019;8:2058460119836256.
9 Daly KP, Ho CP, Persson DL, Gay SB. Traumatic retroperitoneal injuries: review of multidetector CT findings. Radiographics 2008;28:1571-90.   DOI
10 Stuhlfaut JW, Soto JA, Lucey BC, Ulrich A, Rathlev NK, Burke PA, et al. Blunt abdominal trauma: performance of CT without oral contrast material. Radiology 2004;233:689-94.   DOI
11 Lorente-Ramos RM, Santiago-Hernando A, Del Valle-Sanz Y, Arjonilla-Lopez A. Sonographic diagnosis of intramural duodenal hematomas. J Clin Ultrasound 1999;27:213-6.   DOI
12 Hughes CE 3rd, Conn J Jr, Sherman JO. Intramural hematoma of the gastrointestinal tract. Am J Surg 1977;133:276-9.   DOI
13 Deambrosis K, Subramanya MS, Memon B, Memon MA. Delayed duodenal hematoma and pancreatitis from a seatbelt injury. West J Emerg Med 2011;12:128-30.
14 Cogbill TH, Moore EE, Feliciano DV, Hoyt DB, Jurkovich GJ, Morris JA, et al. Conservative management of duodenal trauma: a multicenter perspective. J Trauma 1990;30:1469-75.   DOI
15 Lukman MR, Jasmi AY, Niza SS. Massive dissecting intramural duodenal haematoma following endoscopic haemostasis of a bleeding duodenal ulcer. Asian J Surg 2006;29:98-100.   DOI