Nonoperative treatment of duodenal hematomata in childhood.

Abstract:

:Blunt abdominal trauma, often apparently trivial in nature, may produce intramural hematoma causing complete duodenal obstruction. A child with abdominal pain, persistent vomiting and upper abdominal tenderness should be carefully questioned for a history of trauma. Prompt upper gastrointestinal x-rays will allow early and definitive diagnosis. Previously recommended treatment varies from immediate surgical intervention to observation followed by exploratory laparotomy at a later date. We have treated nine patients with duodenal obstruction caused by intramural hematoma of which eight were successfully managed with nasogastric suction and parenteral fluid administration. One patient had the hematoma evacuated at surgery. This report reviews our experience.

journal_name

J Pediatr Surg

authors

Holgersen LO,Bishop HC

doi

10.1016/0022-3468(77)90290-1

subject

Has Abstract

pub_date

1977-02-01 00:00:00

pages

11-7

issue

1

eissn

0022-3468

issn

1531-5037

pii

0022-3468(77)90290-1

journal_volume

12

pub_type

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