Alberghina A, Goi M, Ibba F, Olivero G, Bertoldo U, Franchello A
Istituto di Chirurgia d'Urgenza, Università degli Studi di Torino.
Minerva Chir. 1990 Jan;45(1-2):111-6.
Two cases of intramural haematoma of the duodenum caused by injury are examined. The clinical signs were non-specific: vomiting and epigastric pain. The salient features of laboratory tests were leucocytosis and hyperamylasaemia. Radiography of the digestive tract revealed classic bunching of the mucous plicae in the second section of the duodenum in one case and a mark on the gastric antrum together with a clear stretch in the third duodenal section in the other. Surgical examination and drainage of the haematoma was performed in one case while the other was given conservative treatment. Both patients were clinically cured on release from hospital.
对两例因外伤导致的十二指肠壁内血肿病例进行了检查。临床症状不具特异性：呕吐和上腹部疼痛。实验室检查的显著特征是白细胞增多和高淀粉酶血症。消化道造影显示，一例十二指肠第二段黏膜皱襞呈典型的聚集，另一例胃窦有一处痕迹，同时十二指肠第三段有明显的伸展。其中一例进行了手术检查和血肿引流，另一例接受了保守治疗。两名患者出院时均临床治愈。
