Banieghbal Behrouz, Vermaak Cobus, Beale Peter
Division of Pediatric Surgery, Johannesburg Hospital, University of the Witwatersrand, Johannesburg, South Africa.
J Laparoendosc Adv Surg Tech A. 2008 Jun;18(3):469-72. doi: 10.1089/lap.2007.0147.
Duodenal intramural hematoma owing to blunt abdominal trauma is a relatively rare condition and is normally managed non-operatively. In this paper, we present the case of an 11-year-old boy with a post-traumatic duodenal hematoma, who after failing conservative management, underwent laparoscopic drainage. A four-port approach in a similar position to the laparoscopic cholecystectomy was used. After disentangling the inflammatory mass, the duodenal serosa was opened by simple hook diathermy and the hematoma evacuated. The child recovered uneventfully and was discharged home 48 hours later. To our knowledge, this is the first time that this condition has been successfully treated laparoscopically.
钝性腹部创伤所致十二指肠壁内血肿是一种相对罕见的病症，通常采用非手术治疗。在本文中，我们报告了一例11岁患有创伤后十二指肠血肿的男孩病例，该患儿在保守治疗失败后接受了腹腔镜引流术。采用了与腹腔镜胆囊切除术类似位置的四孔法。在分离炎性肿块后，用简单的钩形电刀切开十二指肠浆膜并清除血肿。患儿恢复顺利，48小时后出院回家。据我们所知，这是首次通过腹腔镜成功治疗该病症。
