Related Experiment Video
Updated: Dec 26, 2025
Author Spotlight: Point-of-Care Ultrasound for Gastric Content Assessment and Risk Stratification in Perioperative Care
Published on: September 22, 2023
Postendoscopic duodenal hematoma in children: ultrasound diagnosis and follow-up
Dana Dumitriu1, Renaud Menten, Françoise Smets
1Cliniques Universitaires Saint Luc, Department of Radiology, Pediatric Radiology Unit, Université Catholique de Louvain, Brussels, Belgium.
Insights
Pediatric duodenal hematomas can occur after endoscopy, even in healthy children. Ultrasound aids diagnosis and monitoring of these non-traumatic cases.
Area of Science:
- Pediatric Gastroenterology
- Diagnostic Imaging
- Endoscopic Procedures
Background:
- Intramural duodenal hematomas are typically associated with trauma in children.
- Upper gastrointestinal endoscopy with biopsy is a common pediatric procedure.
Observation:
- Two cases of pediatric duodenal hematoma occurred post-endoscopy without prior significant medical history.
- Diagnosis was confirmed using ultrasound, correlating with clinical symptoms.
Findings:
- Conservative management was successful for hemodynamically stable patients.
- Ultrasound effectively monitored hematoma regression until complete resolution.
Implications:
- Endoscopy carries risks in children, even those with normal coagulation.
- Ultrasound is a valuable tool for diagnosing and managing duodenal hematomas in pediatric patients.
Abstract:
Intramural duodenal hematomas have most frequently been reported in children in a traumatic setting. We present two cases of duodenal hematoma that occurred after upper gastrointestinal tract endoscopy with biopsy in children without significant prior medical history. The diagnosis was made by ultrasound, in correlation with the clinical presentation. Because the patients were hemodynamically stable, they were treated conservatively and the regression of the hematoma was followed up with ultrasound until its complete resolution. These cases demonstrate the risks of endoscopy, which are not to be neglected even in children without impaired coagulation, and the manner in which ultrasound can provide the correct diagnosis and follow-up.
More Related Videos
11:27A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn
Published on: April 7, 2023
07:44Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
Published on: March 25, 2022
Related Concept Videos
01:25Ultrasound II: Endoscopic Ultrasound and FibroScan
Endoscopic Ultrasound (EUS):
01:29Endoscopic Procedures I: Esophagogastroduodenoscopy
During an EGD, the endoscope can be used to: