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Intramural post-traumatic haematomas of the duodenum: are there any late sequelae of operative intervention?

N S Xeropotamos1, D E Tsakayannis, A M Kappas

  • 1School of Medicine, University of Ioannina, Greece.

Injury
|June 1, 1997
PubMed

Insights

Surgical evacuation of duodenal intramural hematomas in children is effective. Most patients experienced no long-term symptoms or duodenal deformities after treatment for this rare pediatric injury.

Area of Science:

  • Pediatric Surgery
  • Gastrointestinal Surgery
  • Trauma Surgery

Background:

  • Intramural hematoma of the duodenum is a rare but serious complication of blunt abdominal trauma in children.
  • Prompt diagnosis and appropriate management are crucial to prevent long-term sequelae.

Purpose of the Study:

  • To evaluate the outcomes of surgical management for post-traumatic intramural hematoma of the duodenum in pediatric patients.
  • To assess the long-term effects of surgical intervention on duodenal function and structure.

Main Methods:

  • Retrospective analysis of nine pediatric patients treated for duodenal intramural hematoma between 1967 and 1980.
  • Review of diagnostic methods (preoperative and intraoperative) and surgical interventions performed.
  • Long-term follow-up, including clinical assessment and hypotonic duodenography.

Main Results:

  • Diagnosis was preoperative in seven patients and intraoperative in two.
  • Eight of nine patients underwent surgical intervention, primarily simple hematoma evacuation.
  • Follow-up of six operated patients for up to 15 years revealed no symptoms, deformities, or strictures on hypotonic duodenography.

Conclusions:

  • Surgical evacuation of post-traumatic duodenal intramural hematoma is a safe and effective treatment in children.
  • This approach leads to excellent long-term outcomes with no significant duodenal complications.
  • Early surgical management is recommended for pediatric duodenal intramural hematoma.

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