PMID: 3772698Sep 1, 1986Paper

Traumatic duodenal hematoma in the pediatric patient

Journal of Pediatric Surgery
A L WinthropR M Filler

Abstract

Twenty children with duodenal hematomas secondary to blunt trauma were treated between 1953 and 1983. The duodenal injury was isolated in ten cases and associated with intra-abdominal injuries in the others. In ten, the duodenal injury was suspected on admission and the diagnosis was confirmed within 24 hours by radiographic contrast studies. All ten were managed successfully with nasogastric suction and intravenous fluids. Ten patients underwent laparotomy for increasing abdominal tenderness and guarding. An isolated duodenal hematoma was found in four and treated by evacuation and/or gastroenterostomy. In five of the remaining six surgical patients, all of whom had multiple intra-abdominal injuries, the duodenum was left untouched. Three of these patients had postoperative contrast studies that showed early resolution of the duodenal hematoma. No duodenal stricture or leak developed in any patient. The children with isolated duodenal hematomas who were treated conservatively had a mean hospital stay of six days, whereas those treated surgically had a mean stay of 17 days. The ten patients with multiple intra-abdominal injuries had a mean hospital stay of 32 days. In this group, eight required total parenteral nutrition or nas...Continue Reading

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Citations

Nov 1, 1993·Indian Journal of Pediatrics·M H MehtaL D Shah
May 1, 1994·Injury·M Voss, D H Bass
Jun 1, 1997·Injury·J B KortbeekB Steed
Jun 1, 1989·Journal of Pediatric Surgery·J L GrosfeldD W Vane
Oct 6, 1997·Journal of Pediatric Surgery·J J DeRoseK Bergman
May 28, 2008·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Behrouz BanieghbalPeter Beale
Jul 12, 2007·The Journal of Trauma·Steven I Hanish, Theodore N Pappas
Nov 17, 2011·Journal of Paediatrics and Child Health·Lucinda C WinckworthRaoul Blumberg
Oct 23, 2012·Journal of Pediatric Surgery·Ivan M Gutierrez, David P Mooney
Sep 10, 2008·Journal of Pediatric Surgery·Jeannie C YangDaniel J Ostlie
Dec 1, 1987·Journal of Pediatric Surgery·A GorensteinR M Filler
Sep 17, 2009·Journal of Clinical Ultrasound : JCU·Dimitris AntoniouGeorge Christopoulos-Geroulanos
Sep 19, 2007·Pediatrics International : Official Journal of the Japan Pediatric Society·Taro IkedaNoritsugu Hagiwara
Jun 1, 1997·Journal of Pediatric Surgery·J ShilyanskyP S Babyn
Jun 9, 2004·Journal of Pediatric Surgery·J N ClendenonE R Scaife
Aug 1, 1989·The Physician and Sportsmedicine·J M Henderson, J C Puffer
Dec 22, 1998·The American Journal of Gastroenterology·C GuzmanS Nurko
Mar 12, 2016·Journal of Pediatric Gastroenterology and Nutrition·Anaïs SierraJérôme Viala
Aug 1, 1988·The British Journal of Surgery·S ChittmittrapapS Chomdej

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