Conservative management of duodenal haematoma in a patient with severe haemophilia: A case report and literature review

Shipp, April; Munnikhuysen, Senna; Do, Ana; Radulescu, Vlad C.

doi:10.1111/hae.13933

Haemophilia

2020

DOI: 10.1111/hae.13933

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Conservative management of duodenal haematoma in a patient with severe haemophilia: A case report and literature review

April Shipp

Senna Munnikhuysen

Ana Do

et al.

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2024

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Cited by 2 publications

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A 12‐year retrospective analysis of non‐operative management for paediatric duodenal hematomas caused by trauma at a single center

Shen,

Li,

Wang

et al. 2024

ANZ Journal of Surgery

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BackgroundPaediatric traumatic duodenal hematoma is a rare type of blunt abdominal injury for which treatment strategies are controversial. This study aimed to evaluate the application value of nonoperative management of paediatric duodenal hematoma caused by trauma.MethodsA retrospective analysis was conducted on patients with duodenal hematoma with a confirmed history of abdominal trauma admitted to our hospital between January 2010 and December 2022. General patient information, including age, sex, cause of injury, clinical manifestations, and treatment outcomes, was recorded.ResultsA total of 11 cases were included in this study, with 6 males and 5 females. School‐age children (≥6 years) accounted for 72.7% (8/11) of the cases. Bicycle handlebar injuries accounted for 63.6% (7/11) of cases. Among these cases, 5 (45.5%) were classified as American Association for the Surgery of Trauma grade I, while the remaining were classified as grade II. The median history time was 1 day (range: 2 h–12 days). All patients were successfully treated using non‐operative methods. The median time to oral feeding after injury was 17 days (range: 9–32 days). Oral feeding was initiated within 2 weeks in 2 patients (18.2%), within 3 weeks in 6 patients (54.5%), and within 4 weeks in 10 patients (90.9%).ConclusionPaediatric traumatic duodenal hematoma is more common in school‐aged children, mainly due to bicycle handlebar injuries. Nonoperative treatment is proven to be safe and effective, with duodenal obstruction symptoms typically resolving within 4 weeks.

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A 12‐year retrospective analysis of non‐operative management for paediatric duodenal hematomas caused by trauma at a single center

Shen,

Li,

Wang

et al. 2024

ANZ Journal of Surgery

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Crohn’s disease in hemophilic arthropathy patient: a case report

Zhang,

Chen,

Zhou

et al. 2024

BMC Musculoskelet Disord

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Crohn’s disease (CD) is an inflammatory bowel disease affecting the digestive tract, the incidence of which is on the rise worldwide. The most common clinical manifestation of hemophilia is arthropathy secondary to recurrent joint effusions and chronic synovitis. This article reports on a rare 25-year-old male patient with both hemophilic arthropathy and Crohn’s disease who was at risk for pathogenic gastrointestinal bleeding. After undergoing endoscopic pathologic testing and genetic testing, a multidisciplinary expert work-up of a treatment and nutritional plan was performed. The patient improved clinically and adhered to conservative treatment. This case report is the first report of this rare co-morbidity, demonstrating the highly pathogenic mutation locus and summarizing the clinical experience of early diagnosis and treatment.

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Conservative management of duodenal haematoma in a patient with severe haemophilia: A case report and literature review

Cited by 2 publications

References 9 publications

A 12‐year retrospective analysis of non‐operative management for paediatric duodenal hematomas caused by trauma at a single center

A 12‐year retrospective analysis of non‐operative management for paediatric duodenal hematomas caused by trauma at a single center

Crohn’s disease in hemophilic arthropathy patient: a case report

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