小児外傷性十二指腸壁内血腫の1例

概要

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A 7-year-old boy presented with duodenal obstruction due to intramural hematoma of the duodenum. A conservative treatment by means of nasogastric intubation and total parenteral nutrition was instituted. The obstruction persisted for 3 weeks, but the size of the hematoma has decreased on imaging with US done 2 weeks of treatment. The upper G. I. series carried out after 35 days of treatment demonstrated a satisfactory passage through the duodenum. The size of the hematoma on CT scanning also dramatically decreased. The patient was discharged after 45 days of conservative treatment with a satisfactory condition. As a long-term parenteral nutrition is possible and a close observation of the hematoma by imaging with US and CT scanning, a conservative treatment is the first choice for management of intramural hematoma of the duodenum.
日本小児外科学会の論文
1986-12-20