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Pediatric duodenal stenosis caused by posttraumatic mesenteric hematoma managed with a double elementary diet tube

Hirotaka Shibuya1, Keita Sato1, Natsuki Hashiba1

  • 1Department of Surgery, Ise Red Cross Hospital, Ise, Mie, Japan.

Trauma Case Reports
|July 1, 2024
PubMed

Insights

A double elementary diet tube effectively treated a pediatric patient with posttraumatic duodenal stenosis. This endoscopic approach relieved symptoms and improved the intestinal condition following abdominal trauma.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Trauma Management

Background:

  • Abdominal trauma can lead to serious gastrointestinal complications in children.
  • Posttraumatic duodenal stenosis is a rare but significant consequence requiring timely intervention.

Observation:

  • A 6-year-old male presented with acute abdominal pain and vomiting post-trauma.
  • CT scan revealed a jejunal mesenteric hematoma causing intestinal wall compression and stenosis.
  • Symptoms persisted for 10 days, necessitating endoscopic evaluation.

Findings:

  • Upper endoscopy identified duodenal stenosis secondary to the hematoma.
  • Endoscopic placement of a double elementary diet tube successfully decompressed the stomach and bypassed the stenosis.
  • The patient's condition improved, with stenosis resolving during hospitalization.

Implications:

  • Endoscopic nasojejunal tube insertion offers a minimally invasive treatment option for pediatric posttraumatic duodenal stenosis.
  • This technique can prevent the need for more invasive surgical procedures.
  • Early diagnosis and endoscopic management are crucial for favorable outcomes in pediatric trauma patients.

Keywords:
Double elementary diet tubeDuodenal stenosisDuodenal traumaMesenteric hematomaPediatric trauma

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