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A curious case of spontaneous duodenal haematoma presenting a diagnostic challenge

Keith Wong1, Rebecca Thomas

  • 1Lyell McEwin Hospital, Elizabeth Vale, South Australia, Australia.

BMJ Case Reports
|April 30, 2014
PubMed

Duodenal haematomas are uncommon. They are usually diagnosed on CT of the abdomen. The established treatment strategies are conservative management, surgical evacuation and percutaneous drainage. We present a case of spontaneous duodenal haematoma in a patient with no risk factors posing as a diagnostic challenge due to atypical CT findings. This case also illustrates the utility of ultrasound-guided needle aspiration as a practical treatment option for such haematomas.