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十二指肠第二和第三部分创伤性急性壁内血肿的保守治疗：一例报告并文献复习

Conservative management of traumatic acute intramural hematoma of duodenal 2nd and 3rd portion: A case report and review of literature.

作者信息

Kim Sun Jeong, Lee Jin Ho, Park Su Mi, Kwon Kuk Hwan

机构信息

Department of Surgery, National Health Insurance Service Ilsan Hospital, Goyang, Korea.

Department of Radiology, National Health Insurance Service Ilsan Hospital, Goyang, Korea.

出版信息

Ann Hepatobiliary Pancreat Surg. 2020 Feb;24(1):109-113. doi: 10.14701/ahbps.2020.24.1.109. Epub 2020 Feb 27.

DOI:10.14701/ahbps.2020.24.1.109
PMID:32181439
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7061041/
Abstract

Traumatic intramural duodenal hematoma (IMDH) is a rare disease occurring usually in children. The treatment modality of traumatic IMDH varies according to clinical manifestations. We had a case of a young man who had traumatic IMDH and treated nonoperatively. He had 3 weeks of conservative care and has been discharged, with follow up abdominal CT scan showing complete resolution of the hematoma. In conclusion, patient with traumatic acute intramural hematoma of duodenal 2nd and 3rd portion have excellent clinical outcomes with conservative therapy.

摘要

创伤性十二指肠壁内血肿（IMDH）是一种罕见疾病，通常发生于儿童。创伤性IMDH的治疗方式因临床表现而异。我们有一例患有创伤性IMDH的年轻男性患者，接受了非手术治疗。他接受了3周的保守治疗后已出院，随访腹部CT扫描显示血肿已完全消退。总之，十二指肠第二和第三段创伤性急性壁内血肿患者采用保守治疗可取得良好的临床效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35e9/7061041/e904c23e240e/ahbps-24-109-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35e9/7061041/afce8ed86bb7/ahbps-24-109-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35e9/7061041/f2bd33e54fee/ahbps-24-109-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35e9/7061041/e904c23e240e/ahbps-24-109-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35e9/7061041/afce8ed86bb7/ahbps-24-109-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35e9/7061041/f2bd33e54fee/ahbps-24-109-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35e9/7061041/e904c23e240e/ahbps-24-109-g003.jpg

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Spontaneous Intramural Duodenal Hematoma: Pancreatitis, Obstructive Jaundice, and Upper Intestinal Obstruction.自发性十二指肠壁内血肿：胰腺炎、梗阻性黄疸和上消化道梗阻
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