Duodenal hematoma in pediatric age: a rare case report
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Published on: May 29, 2021
Carmela Brillantino1, Eugenio Rossi1, Diana Baldari1
1Unit of Radiology and Ultrasound, A.O.R.N. Santobono-Pausilipon, Pausilipon Hospital, Naples, Italy.
Insights
Duodenal hematoma is a rare pediatric condition, often caused by trauma. This case highlights a duodenal hematoma occurring after upper digestive endoscopy in a boy with Di George syndrome.
Area of Science:
- Pediatric Gastroenterology
- Gastrointestinal Surgery
Background:
- Duodenal hematoma is a rare condition in children, typically resulting from abdominal trauma.
- It can cause upper gastrointestinal obstruction and acute pancreatitis, often with diagnostic challenges.
Observation:
- This article presents an unusual case of duodenal hematoma in a 12-year-old boy with Di George syndrome.
- The hematoma developed following an esophagus-gastro-duodenoscopy procedure.
Findings:
- The diagnosis of duodenal hematoma can be challenging, especially in atypical presentations.
- Early identification is crucial for successful conservative management, potentially avoiding surgery.
Implications:
- This case expands the known causes of pediatric duodenal hematoma, including iatrogenic causes like endoscopy.
- It underscores the importance of considering rare complications in patients with underlying syndromes like Di George syndrome.
Abstract:
In pediatric age, duodenal hematoma is rare and generally occurs following a closed abdominal trauma due to the crushing of the duodenum against the rigid plane of the spine; it rarely follows anticoagulant therapy, pancreatitis, bleeding disorders, vasculitis, tumors or upper digestive endoscopy. Duodenal hematoma is a rare cause of obstruction of the upper gastrointestinal tract and acute pancreatitis, and the diagnosis is sometimes difficult and late. On the other hand, the identification of the pathology in its initial stages allows the young patients to be subjected to a conservative treatment that resolves the issue most of the time, thus avoiding surgery. In this article we describe an unusual case of duodenal hematoma, following esophagus-gastro-duodenoscopy, in a 12-year-old boy with Di George syndrome.
