小儿经内镜活检后并发十二指肠和直肠血肿：超声的应用。
Duodenal and rectal hematomas complicating endoscopic biopsy: use of sonography in pediatrics.
机构信息
Division of Pediatric Gastroenterology and Nutrition, Mount Sinai School of Medicine, New York, NY 10029, USA.
出版信息
J Ultrasound Med. 2009 Nov;28(11):1575-80. doi: 10.7863/jum.2009.28.11.1575.
OBJECTIVE
Intramural duodenal hematomas (IDHs) after nontherapeutic endoscopic biopsy are rare. Rectal hematomas (RHs) have not been reported previously. A review of the literature revealed 18 cases of IDHs.
METHODS
We reviewed 3 cases that occurred within a 4-month period at our institution.
RESULTS
We report a series of 3 cases occurring within a 4-month period. In addition, we report a concurrent RH in 1 of these cases. After becoming symptomatic, 2 of these patients had a diagnosis by computed tomography, the third by sonography. All patients had conservative management and were followed with sonography.
CONCLUSIONS
Sonography was found to be an accurate, safe, and nonionizing way to diagnose and follow hematomas in pediatric patients.
目的
非治疗性内镜活检后发生的肠壁血肿（IDH）较为罕见。直肠血肿（RH）此前尚未有报道。对文献的回顾共发现 18 例 IDH。
方法
我们回顾了在我院 4 个月内发生的 3 例病例。
结果
我们报道了在 4 个月内发生的 3 例连续病例。此外，我们还报告了其中 1 例同时发生的 RH。出现症状后，其中 2 例通过计算机断层扫描进行诊断，第 3 例通过超声进行诊断。所有患者均接受保守治疗并进行超声随访。
结论
超声检查被发现是一种准确、安全且非电离的诊断和随访小儿患者血肿的方法。
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