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Laparoscopic drainage of an intramural duodenal haematoma: a novel technique and review of the literature.腹腔镜下治疗十二指肠壁内血肿：一种新的技术及文献回顾。
World J Emerg Surg. 2011 Dec 20;6(1):42. doi: 10.1186/1749-7922-6-42.
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Clinical images. Delayed duodenal intramural hematoma with obstruction.临床影像。伴有梗阻的迟发性十二指肠壁内血肿。
Am J Surg. 2010 Jun;199(6):e77-8. doi: 10.1016/j.amjsurg.2009.07.046.
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Spontaneous intramural duodenal hematoma--a rare cause of upper gastrointestinal obstruction.自发性十二指肠壁内血肿——上消化道梗阻的罕见原因。
Am J Emerg Med. 2010 Jun;28(5):642.e1-2. doi: 10.1016/j.ajem.2009.09.006. Epub 2010 Feb 23.
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Spontaneous duodenal hematoma: a rare cause of upper gastrointestinal tract obstruction.自发性十二指肠血肿：上消化道梗阻的罕见原因。
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7
Case of duodenal haematoma treated with ultrasound guided drainage.超声引导下引流治疗十二指肠血肿病例
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8
Spontaneous intramural small-bowel hematoma: imaging findings and outcome.自发性肠壁内小肠血肿：影像学表现与预后
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Intramural duodenal hematoma presenting as a complication of peptic ulcer disease.十二指肠壁内血肿作为消化性溃疡疾病的一种并发症出现。
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Intramural hematoma of the gastrointestinal tract.
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一例罕见的自发性十二指肠血肿病例带来了诊断挑战。

A curious case of spontaneous duodenal haematoma presenting a diagnostic challenge.

作者信息

Wong Keith, Thomas Rebecca

机构信息

Lyell McEwin Hospital, Elizabeth Vale, South Australia, Australia.

出版信息

BMJ Case Rep. 2014 Apr 28;2014:bcr2013200614. doi: 10.1136/bcr-2013-200614.

DOI:10.1136/bcr-2013-200614
PMID:24777076
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4009903/
Abstract

Duodenal haematomas are uncommon. They are usually diagnosed on CT of the abdomen. The established treatment strategies are conservative management, surgical evacuation and percutaneous drainage. We present a case of spontaneous duodenal haematoma in a patient with no risk factors posing as a diagnostic challenge due to atypical CT findings. This case also illustrates the utility of ultrasound-guided needle aspiration as a practical treatment option for such haematomas.

摘要

十二指肠血肿并不常见。它们通常通过腹部CT诊断。既定的治疗策略包括保守治疗、手术清除和经皮引流。我们报告一例无危险因素的自发性十二指肠血肿病例，因其非典型的CT表现给诊断带来挑战。该病例还说明了超声引导下穿刺抽吸作为此类血肿实际治疗选择的实用性。