Uehara Toshihito, Shinyama Shin, Kidogawa Hideo, Okamoto Kohji
Department of Surgery, Kitakyushu City Yahata Hospital, Fukuoka, JPN.
Cureus. 2025 Jun 29;17(6):e86950. doi: 10.7759/cureus.86950. eCollection 2025 Jun.
Intramural duodenal hematoma (IDH) is a rare event of blunt abdominal trauma in children. A 10-year-old female with IgA nephropathy sustained trauma and presented with duodenal obstruction secondary to IDH. Initial conservative management failed, prompting surgical intervention with laparoscopy. Intraoperatively, a 7.0 × 4.5 cm IDH was detected, and blood clot was evacuated. Postoperative recovery was uneventful. This case demonstrates that laparoscopic drainage can be a viable alternative for pediatric patients.
壁内十二指肠血肿（IDH）是儿童腹部钝性创伤中的罕见事件。一名患有IgA肾病的10岁女性遭受创伤，出现继发于IDH的十二指肠梗阻。初始保守治疗失败，促使进行腹腔镜手术干预。术中发现一个7.0×4.5厘米的IDH，并清除了血凝块。术后恢复顺利。该病例表明，腹腔镜引流对于儿科患者可能是一种可行的替代方法。
