The American Journal of Surgery
Volume 199, Issue 6 , Pages e77-e78, June 2010

Delayed duodenal intramural hematoma with obstruction

  • Chen-Wang Chang, M.D.

      Affiliations

    • Division of Gastroenterology, Department of Internal Medicine, Mackay Memorial Hospital, 92, Sec 2, Chung-Shan N Road, Taipei, Taiwan
    • Mackay Medicine, Nursing and Management College, Taipei, Taiwan
    • ,
  • Ming-Jen Chen, M.D.

      Affiliations

    • Division of Gastroenterology, Department of Internal Medicine, Mackay Memorial Hospital, 92, Sec 2, Chung-Shan N Road, Taipei, Taiwan
    • Mackay Medicine, Nursing and Management College, Taipei, Taiwan
    • ,
  • Shou-Chuan Shih, M.D.

      Affiliations

    • Division of Gastroenterology, Department of Internal Medicine, Mackay Memorial Hospital, 92, Sec 2, Chung-Shan N Road, Taipei, Taiwan
    • Mackay Medicine, Nursing and Management College, Taipei, Taiwan
    • ,
  • Horng-Yuan Wang, M.D.

      Affiliations

    • Division of Gastroenterology, Department of Internal Medicine, Mackay Memorial Hospital, 92, Sec 2, Chung-Shan N Road, Taipei, Taiwan
    • Mackay Medicine, Nursing and Management College, Taipei, Taiwan
    • ,
  • Chung-Hsin Tsai, M.D.

      Affiliations

    • Division of General Surgery, Department of Surgery, Mackay Memorial Hospital, Taipei, Taiwan
    • ,
  • Tsang-En Wang, M.D.

      Affiliations

    • Division of Gastroenterology, Department of Internal Medicine, Mackay Memorial Hospital, 92, Sec 2, Chung-Shan N Road, Taipei, Taiwan
    • Mackay Medicine, Nursing and Management College, Taipei, Taiwan
    • ,
  • Wen-Hsiung Chang, M.D.

      Affiliations

    • Division of Gastroenterology, Department of Internal Medicine, Mackay Memorial Hospital, 92, Sec 2, Chung-Shan N Road, Taipei, Taiwan
    • Mackay Medicine, Nursing and Management College, Taipei, Taiwan
    • Corresponding Author InformationCorresponding author. Tel.: +886-2-2543-3535; fax: +886-2-2543-3642

Received 22 April 2009; received in revised form 2 July 2009

Abstract 

An intramural duodenal hematoma with duodenal obstruction is usually a complication of blunt abdominal trauma, endoscopic biopsy, or peptic ulcer disease. Possible management strategies include conservative treatment, surgical evacuation, and percutaneous or endoscopic drainage. We report on a 40-year-old man with a remote history of trauma who presented with vomiting for 3 days. At surgery, he was found to have an intramural duodenal hematoma causing obstruction.

Keywords: Duodenum, Hematoma, Obstruction

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PII: S0002-9610(09)00682-5

doi:10.1016/j.amjsurg.2009.07.046

The American Journal of Surgery
Volume 199, Issue 6 , Pages e77-e78, June 2010

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