Department of Pediatrics, Prince Sultan Military Medical City, Riyadh, Kingdom of Saudi Arabia. E-mail.
Saudi Med J. 2020 Aug;41(8):874-877. doi: 10.15537/smj.2020.8.25128.
A duodenal hematoma secondary to blunt-abdominal trauma is a relatively rare condition and is usually managed conservatively. We report a case of a post-traumatic duodenal hematoma after a road trafficc accident in a 10-year-old boy, who presented with progressive vomiting 3 weeks after the accident. The case was managed using serial esophagogastroduodenoscopy (EGD) with dilatation. Controlled radial expansion (CRE) balloon dilatation was performed 4 times over a period of 11 weeks. The patient recovered uneventfully and remained asymptomatic at the 3-month follow-up after the last endoscopic dilatation. This case highlights the applicability of EGD with CRE balloon dilatation as an alternative to surgical treatment in patients with symptomatic post-traumatic duodenal hematomas.
外伤性十二指肠血肿继发于钝性腹部创伤较为罕见，通常采用保守治疗。我们报告了一例 10 岁男孩因道路交通事故导致的外伤性十二指肠血肿，该患者在事故发生 3 周后出现进行性呕吐。采用食管胃十二指肠镜（EGD）连续扩张的方法进行治疗。在 11 周的时间里，共进行了 4 次可控径向扩张（CRE）球囊扩张。患者恢复顺利，在最后一次内镜扩张后 3 个月的随访中无任何症状。该病例强调了 EGD 联合 CRE 球囊扩张在治疗症状性外伤性十二指肠血肿患者中替代手术治疗的适用性。
