Duodenal hematoma

Toddler who

has been abusedContiguous slices from an axial CT with IV and oral contrast of the abdomen shows medial to the ascending colon the contrast-filled lumen of the duodenum narrowing to a point as it nears the midline (above) and then being narrowed as it crosses anterior to the spine (below). The diagnosis was duodenal hematoma in a child abuse patient.

pediatricimaging.org • CC-by-nc-sa 4.0

Toddler who

was abused who is vomiting after eatingAP image from an upper GI exam shows diffuse persistent narrowing of the lumen of the second and third portions of the duodenum.The diagnosis was duodenal hematoma in a child abuse patient.

pediatricimaging.org • CC-by-nc-sa 4.0

Duodenal

hematoma • Duodenal hematoma - Ganzer Fall bei Radiopaedia

Gaillard F, Duodenal hematoma. Case study, Radiopaedia.org (Accessed on 10 Jul 2023) https://doi.org/10.53347/rID-7140 • CC by-nc-sa 3.0 (modified)

Duodenal

hematoma • Duodenal intramural hematoma - Ganzer Fall bei Radiopaedia

Elowaidy A, Duodenal intramural hematoma. Case study, Radiopaedia.org (Accessed on 10 Jul 2023) https://doi.org/10.53347/rID-24836 • CC by-nc-sa 3.0 (modified)

Intramural

duodenal hematoma and hemoperitoneum after endoscopic treatment in a patient with chronic renal failure on hemodialysis: a case report. CT of the abdomen demonstrates a mass with a filling defect in the second portion of the duodenum and marked narrowing of the lumen of the third portion of the duodenum (A), and the largest part of the hematoma in diameter (B).

casesjournal.biomedcentral.com • CC-by-2.0

Intramural

duodenal hematoma and hemoperitoneum after endoscopic treatment in a patient with chronic renal failure on hemodialysis: a case report. Upper gastrointestinal series with gastrograffin reveals the hematoma compressing the second portion of the duodenum and the partial passage of gastrograffin via a near-totally occluded duodenal lumen without leakage outside.

casesjournal.biomedcentral.com • CC-by-2.0

Radiopaedia • CC-by-nc-sa 3.0 • de

Duodenal hematoma results in hematoma formation in the duodenal wall. It may occur as a result of blunt abdominal trauma, non-accidental injury to children and spontaneously in anti-coagulated patients.

Distinction must be made from duodenal perforation since the latter will require immediate surgical management. Unfortunately, the distinction is not always easy radiologically and where diagnostic doubt persists, an exploratory laparotomy may be performed.

An isolated hematoma will classically have heterogeneous attenuation and a thickened duodenal wall. Fluid collection without contrast can be seen in both perforation and hematoma while extravasation of oral contrast and/or extraluminal gas in the retroperitoneum (right anterior pararenal space) are specific for perforation.

A hematoma in isolation can be treated conservatively: nasogastric tube decompression with resolution expected in 1-3 weeks.

Duodenal hematoma

See also

Siehe auch:

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