临床影像。伴有梗阻的迟发性十二指肠壁内血肿。

Clinical images. Delayed duodenal intramural hematoma with obstruction.

作者信息

Chang Chen-Wang, Chen Ming-Jen, Shih Shou-Chuan, Wang Horng-Yuan, Tsai Chung-Hsin, Wang Tsang-En, Chang Wen-Hsiung

机构信息

Division of Gastroenterology, Department of Internal Medicine, Mackay Memorial Hospital, 92, Sec 2, Chung-Shan N Road, Taipei, Taiwan.

出版信息

Am J Surg. 2010 Jun;199(6):e77-8. doi: 10.1016/j.amjsurg.2009.07.046.

DOI:10.1016/j.amjsurg.2009.07.046

PMID:20609716

Abstract

An intramural duodenal hematoma with duodenal obstruction is usually a complication of blunt abdominal trauma, endoscopic biopsy, or peptic ulcer disease. Possible management strategies include conservative treatment, surgical evacuation, and percutaneous or endoscopic drainage. We report on a 40-year-old man with a remote history of trauma who presented with vomiting for 3 days. At surgery, he was found to have an intramural duodenal hematoma causing obstruction.

摘要

伴有十二指肠梗阻的壁内十二指肠血肿通常是钝性腹部创伤、内镜活检或消化性溃疡病的并发症。可能的治疗策略包括保守治疗、手术清除血肿以及经皮或内镜引流。我们报告一例40岁男性患者，有陈旧性创伤史，出现呕吐3天。手术时发现他有一个导致梗阻的壁内十二指肠血肿。