Department of Radiology, St. Luke's International Hospital, 9-1 Akashi-Cho, Chuo-Ku, Tokyo 104-8560, Japan.
Jpn J Radiol. 2013 Jan;31(1):56-60. doi: 10.1007/s11604-012-0138-8. Epub 2012 Oct 10.
Duodenal stenosis due to periduodenal hematoma is a rare condition. Although clinical presentations should vary among causes, symptoms of duodenal stenosis due to periduodenal hematoma commonly include abdominal pain, nausea, or vomiting. We describe three cases of duodenal stenosis due to periduodenal hematoma with similar clinical courses. All patients had mass-like hardness in the upper abdomen on physical examination and showed prolonged symptoms of duodenal stenosis given the usual time of hematoma resolution. On the basis of anatomic and embryologic background, hemorrhage presumably occurs in the duodenal compartment, which includes the distal part of the duodenum and its potential embryonic mesentery. Hematoma itself and the increased intracompartmental pressure result in distinctive clinical features, which suggest a concept of duodenal compartment syndrome.
十二指肠狭窄由于十二指肠周围血肿是一种罕见的情况。虽然临床表现可能因病因而异，但由于十二指肠周围血肿引起的十二指肠狭窄的症状通常包括腹痛、恶心或呕吐。我们描述了三例具有相似临床过程的十二指肠狭窄由于十二指肠周围血肿。所有患者在体格检查时在上腹部均有块状硬结，并且由于血肿通常在消退，因此表现出延长的十二指肠狭窄症状。基于解剖学和胚胎学背景，出血可能发生在十二指肠隔室中，该隔室包括十二指肠的远端及其潜在的胚胎肠系膜。血肿本身和增加的腔内压力导致独特的临床特征，这表明存在十二指肠间隔综合征的概念。
