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[Intramural duodenal hematoma: a case report].

T Takeda¹, T Nakayama, S Momoshima

¹Department of Radiology, Tokyo Metropolitan Hiroo Hospital.

Rinsho Hoshasen. Clinical Radiography

|April 1, 1990

Summary

Intramural duodenal hematoma can be diagnosed non-invasively using Magnetic Resonance Imaging (MRI). The distinctive "ring sign" on MRI aids in identifying this condition, even without a history of trauma.

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Area of Science:

Gastroenterology
Radiology
Medical Imaging

Background:

Acute abdominal pain is a common clinical presentation requiring accurate diagnosis.
Intramural duodenal hematoma is a rare but serious condition that can mimic other abdominal pathologies.
Non-invasive diagnostic methods are crucial for timely and effective patient management.

Observation:

A 55-year-old male presented with acute abdominal pain.
The patient had no history of abdominal trauma or bleeding disorders.
Magnetic Resonance Imaging (MRI) revealed a characteristic three-layered architecture, the 'ring sign'.

Findings:

The 'ring sign' observed on MRI is highly distinctive of intramural duodenal hematoma.
MRI proved to be a valuable tool for the non-invasive diagnosis of intramural duodenal hematoma.

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The imaging findings correlated with the clinical presentation of acute abdominal pain.

Implications:

This case highlights the utility of MRI in diagnosing intramural duodenal hematoma.
Accurate and early diagnosis can prevent unnecessary invasive procedures.
Further research into MRI's role in similar gastrointestinal conditions is warranted.