Traumatic duodenal hematoma.
Case report
DOI:
https://doi.org/10.31837/cir.urug/3.1.4Keywords:
Duodenal hematoma, duodenal trauma, intestinal occlusionAbstract
Background: Lesions of the duodenum occur in about 3 to 5% of traumatic abdominal injuries. Diagnosis is a challenge, especially in closed traumatism, because the
signs and symptoms are nonspecific. The initial assessment focuses on the early identification of high-grade lesions associated with high mortality rates. Most duodenal lesions are low grade and may be conservative, but more complex lesions may require surgery. The purpose is to show the case of a patient who presented a traumatic duodenal hematoma and its treatment. Clinical case: Male patient 27 years old admitted due to blunt abdominal trauma. He presented with abdominal pain,
nausea and vomiting. Stable hemodynamics; normal laboratory tests. Abdominal computed tomography (CT) scan showed an intestinal obstruction caused by a
hematoma in the duodenal wall. Conservative treatment was performed based on gastric decompression, intravenous proton pump inhibitors, parenteral nutrition and serial clinical controls, showing a good evolution.
Discussion: This is an infrequent entity in adult patients. The non-operative management in case of traumatic duodenal hematoma is effective and avoids the morbidity
and mortality of more complex procedures.
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