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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...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Saudi Medical Journal
2020
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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. |
format | Online Article Text |
id | pubmed-7502957 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Saudi Medical Journal |
record_format | MEDLINE/PubMed |
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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