[A case of traumatic retroperitoneal hematoma with duodenal occlusion]

A case 67-year old male was admitted with abdominal blunt injury from a traffic accident. An abdominal CT revealed a retroperitoneal hematoma behind the pancreas head, so we began a conservative therapy of continuous drip while fasting. The patient vomited frequently on the 6th day after injury. Upper gastroduodenography visualized a narrowing of the descending part of the duodenum. The conservative therapy was continued with nasogastric drainage and intravenous fluid. Obstructive symptoms disappeared 14 days after the beginning of the therapy. It is a rare case that can be considered a candidate for 2 weeks of conservative therapy, with no additional damage or peritonitis.