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Endoscopic dilatation as a new technique in managing pediatric duodenal hematoma

A duodenal hematoma secondary to blunt -abdominal trauma is a relatively rare condition and is usually managed conservatively. We report a case of a post-traumatic duodenal hematoma after a road traffic accident in a 10-year-old boy, who presented with progressive vomiting 3 weeks after the accident...

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Autores principales: Alharbi, Fahad M., Abo Amer, Zaki A., Hamamesh, Khalel H., Algubaisi, Sarah N.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Saudi Medical Journal 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7502957/
https://www.ncbi.nlm.nih.gov/pubmed/32789429
http://dx.doi.org/10.15537/smj.2020.8.25128
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author Alharbi, Fahad M.
Abo Amer, Zaki A.
Hamamesh, Khalel H.
Algubaisi, Sarah N.
author_facet Alharbi, Fahad M.
Abo Amer, Zaki A.
Hamamesh, Khalel H.
Algubaisi, Sarah N.
author_sort Alharbi, Fahad M.
collection PubMed
description A duodenal hematoma secondary to blunt -abdominal trauma is a relatively rare condition and is usually managed conservatively. We report a case of a post-traumatic duodenal hematoma after a road traffic accident in a 10-year-old boy, who presented with progressive vomiting 3 weeks after the accident. The case was managed using serial esophagogastroduodenoscopy (EGD) with dilatation. Controlled radial expansion (CRE) balloon dilatation was performed 4 times over a period of 11 weeks. The patient recovered uneventfully and remained asymptomatic at the 3-month follow-up after the last endoscopic dilatation. This case highlights the applicability of EGD with CRE balloon dilatation as an alternative to surgical treatment in patients with symptomatic post-traumatic duodenal hematomas.
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spelling pubmed-75029572021-03-11 Endoscopic dilatation as a new technique in managing pediatric duodenal hematoma Alharbi, Fahad M. Abo Amer, Zaki A. Hamamesh, Khalel H. Algubaisi, Sarah N. Saudi Med J Case Report A duodenal hematoma secondary to blunt -abdominal trauma is a relatively rare condition and is usually managed conservatively. We report a case of a post-traumatic duodenal hematoma after a road traffic accident in a 10-year-old boy, who presented with progressive vomiting 3 weeks after the accident. The case was managed using serial esophagogastroduodenoscopy (EGD) with dilatation. Controlled radial expansion (CRE) balloon dilatation was performed 4 times over a period of 11 weeks. The patient recovered uneventfully and remained asymptomatic at the 3-month follow-up after the last endoscopic dilatation. This case highlights the applicability of EGD with CRE balloon dilatation as an alternative to surgical treatment in patients with symptomatic post-traumatic duodenal hematomas. Saudi Medical Journal 2020-08 /pmc/articles/PMC7502957/ /pubmed/32789429 http://dx.doi.org/10.15537/smj.2020.8.25128 Text en Copyright: © Saudi Medical Journal https://creativecommons.org/licenses/by-nc-sa/3.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Alharbi, Fahad M.
Abo Amer, Zaki A.
Hamamesh, Khalel H.
Algubaisi, Sarah N.
Endoscopic dilatation as a new technique in managing pediatric duodenal hematoma
title Endoscopic dilatation as a new technique in managing pediatric duodenal hematoma
title_full Endoscopic dilatation as a new technique in managing pediatric duodenal hematoma
title_fullStr Endoscopic dilatation as a new technique in managing pediatric duodenal hematoma
title_full_unstemmed Endoscopic dilatation as a new technique in managing pediatric duodenal hematoma
title_short Endoscopic dilatation as a new technique in managing pediatric duodenal hematoma
title_sort endoscopic dilatation as a new technique in managing pediatric duodenal hematoma
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7502957/
https://www.ncbi.nlm.nih.gov/pubmed/32789429
http://dx.doi.org/10.15537/smj.2020.8.25128
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