Postendoscopic duodenal hematoma in children: Ultrasound diagnosis and follow‐up

Dumitriu, Dana; Menten, Renaud; Smets, Françoise; Clapuyt, Philippe

doi:10.1002/jcu.22145

Cited by 7 publications

(7 citation statements)

References 7 publications

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“…However, due to the rarity of a post-endoscopic IDH and the missing prospective data, the incidence is of limited significance. With clinical suspicion of a duodenal hematoma, ultrasound or MRI should be performed to verify the diagnosis and to exclude differential diagnoses, such as a duodenal duplication, abscess, pancreatic pseudocyst or solid tumor [19]. A computed tomography (CT) is also described in several case reports, but MRI is superior due to the lack of ionizing radiation exposure [20] and superior soft-tissue resolution.…”

Section: Discussionmentioning

confidence: 99%

Large Duodenal Hematoma Causing an Ileus after an Endoscopic Duodenal Biopsy in a 6-Year-Old Child: A Case Report

et al. 2021

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Intramural duodenal hematoma (IDH) in children is a rare complication after esophagogastroduodenoscopy. It is commonly described in patients with additional disorders or risk factors, such as coagulopathy. We present a case of a previously healthy 6-year-old boy with a large obstructing intramural duodenal hematoma and concomitant pancreatitis after an elective esophagogastroduodenoscopy. The patient presented with typical symptoms of an IDH, such as abdominal pain and distension, nausea and vomiting. IDH was diagnosed using ultrasound and magnetic resonance imaging examination. Conservative management with gastric decompression using a nasogastric feeding tube, bowel rest, total parenteral nutrition and analgesia was performed. After three weeks, the patient was discharged from the hospital without any complaints. Interventional management of IDH in pediatric patients with a lack of response to conservative therapy or complicating IDH should be discussed in an interdisciplinary team.

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Section: Discussionmentioning

confidence: 99%

Large Duodenal Hematoma Causing an Ileus after an Endoscopic Duodenal Biopsy in a 6-Year-Old Child: A Case Report

et al. 2021

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“…Наиболее информативными методами диагностики данной патологии являются УЗИ, рентгенография с барием и спиральная компьютерная томография с контрастированием, позволяющие определить локализацию, размеры забрюшинной гематомы, а также оценить состояние поджелудочной железы и соседних органов [14,15].…”

Section: Discussionunclassified

Experience of laparoscopic drainage of posttraumatic intramural hematomas of duodenum in children

Sokolov

Соколов²,

Стоногин

et al. 2020

Rossijskij vestnik detskoj hirurgii, anesteziologii i reanimato

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Резюме Цель. Продемонстрировать возможность проведения миниинвазивных лапароскопических вмешательств у детей с чрезвычайно редкими травматическими повреждениями двенадцатиперстной кишки с формированием травматической интрамуральной гематомы двенадцатиперстной кишки. На современном этапе своевременная диагностика и лечение травматических повреждений двенадцатиперстной кишки с формированием травматической интрамуральной гематомы двенадцатиперстной кишки является одним из сложных и довольно противоречивых разделов хирургии. На сегодняшний день частота повреждения двенадцатиперстной кишки в структуре всех повреждений органов брюшной полости составляет всего 1,2% [1]. В мировой медицинской литературе описаны единичные наблюдения лечения детей с данной патологией. Поэтому мы решили представить собственные наблюдения, посвященные данной актуальной проблеме детской хирургии. Материалы и методы. В нашей работе представлены два редких клинических наблюдения посттравматической интрамуральной гематомы двенадцатиперстной кишки у детей, которым были успешно проведены миниинвазивные лапароскопические вмешательства. Миниинвазивные оперативные вмешательства всем детям проводились с использованием современного лапароскопического оборудования фирмы Karl Storz. Результаты. Излечение посттравматической гематомы двенадцатиперстной кишки с использованием миниинвазивных оперативных вмешательств у детей возможно и высокоэффективно, что проиллюстрировано в данных клинических наблюдениях. Выводы. Посттравматическая гематома двенадцатиперстной кишки излечивается с использованием миниинвазивных оперативных вмешательств, в короткие сроки купируются явления высокой кишечной непроходимости, начинается раннее энтеральное питание, пациент активизируется в ранние сроки после оперативного вмешательства. Ключевые слова: лапароскопия, травматическое повреждение двенадцатиперстной кишки у детей, интрамуральная гематома двенадцатиперстной кишки, лапароскопия у детей, редкие травмы у детей

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“…If there is no history of trauma, there is a high association with child abuse and additional imaging is warranted ( Figure 3). Hematomas may also result from endoscopic biopsy of the duodenum or in children with bleeding disorders [50][51][52] . Once identified, the hematoma can persist for at least two weeks, typically resolving by 6 wk.…”

Section: Hiatal Hernia and Gastroesophageal Reflux Diseasementioning

confidence: 99%

“…Once identified, the hematoma can persist for at least two weeks, typically resolving by 6 wk. On ultrasound, duodenal intramural hematomas appear as a heterogeneous, nonvascularized mass along the course of the duodenum, which can obstruct the duodenal lumen and/or the common bile duct [50][51][52] . During resolution, the hematoma becomes cystic.…”

Section: Hiatal Hernia and Gastroesophageal Reflux Diseasementioning

confidence: 99%

Abdominal ultrasonography of the pediatric gastrointestinal tract

Gale¹,

Gee²,

Westra³

et al. 2016

WJR

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Ultrasound is an invaluable imaging modality in the evaluation of pediatric gastrointestinal pathology; it can provide real-time evaluation of the bowel without the need for sedation or intravenous contrast. Recent improvements in ultrasound technique can be utilized to improve detection of bowel pathology in children: Higher resolution probes, color Doppler, harmonic and panoramic imaging are excellent tools in this setting. Graded compression and cine clips provide dynamic information and oral and intravenous contrast agents aid in detection of bowel wall pathology. Ultrasound of the bowel in children is typically a targeted exam; common indications include evaluation for appendicitis, pyloric stenosis and intussusception. Bowel abnormalities that are detected prenatally can be evaluated after birth with ultrasound. Likewise, acquired conditions such as bowel hematoma, bowel infections and hernias can be detected with ultrasound. Rare bowel neoplasms, vascular disorders and foreign bodies may first be detected with sonography, as well. At some centers, comprehensive exams of the gastrointestinal tract are performed on children with inflammatory bowel disease and celiac disease to evaluate for disease activity or to confirm the diagnosis. The goal of this article is to review up-to-date imaging techniques, normal sonographic anatomy, and characteristic sonographic features of common and uncommon disorders affecting the gastrointestinal tract in children.

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Postendoscopic duodenal hematoma in children: Ultrasound diagnosis and follow‐up

Cited by 7 publications

References 7 publications

Large Duodenal Hematoma Causing an Ileus after an Endoscopic Duodenal Biopsy in a 6-Year-Old Child: A Case Report

Large Duodenal Hematoma Causing an Ileus after an Endoscopic Duodenal Biopsy in a 6-Year-Old Child: A Case Report

Experience of laparoscopic drainage of posttraumatic intramural hematomas of duodenum in children

Abdominal ultrasonography of the pediatric gastrointestinal tract

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