Olivares P, Tovar J A, Díez-Pardo J A, Corbatón J, Monereo J
An Esp Pediatr. 1976 Mar-Apr;9(2):166-9.
Two cases of duodenal hematoma secondary to abdominal trauma in children are reported. The latent periods between trauma and the onset of symptoms were two and fifteen days. X-ray studies were conclusive for diagnosis. Pancreatic signs were mild in one case. Both cases were treated surgically, draining the fluid collection extramucosally. The authors advise surgical treatment whenever associated lesions need to be ruled out and when obstruction persists after the first days.
报告了两例儿童腹部创伤继发十二指肠血肿的病例。创伤与症状出现之间的潜伏期分别为两天和十五天。X线检查对诊断具有决定性意义。其中一例胰腺体征较轻。两例均接受了手术治疗,通过黏膜外引流积液。作者建议,只要需要排除相关病变,且在最初几天过后梗阻仍然存在,就应进行手术治疗。