PT - JOURNAL ARTICLE AU - Fahad M. Alharbi AU - Zaki A. Abo Amer AU - Khalel H. Hamamesh AU - Sarah N. Algubaisi TI - Endoscopic dilatation as a new technique in managing pediatric duodenal hematoma AID - 10.15537/smj.2020.8.25128 DP - 2020 Aug 01 TA - Saudi Medical Journal PG - 874--877 VI - 41 IP - 8 4099 - http://smj.org.sa/content/41/8/874.short 4100 - http://smj.org.sa/content/41/8/874.full SO - Saudi Med J2020 Aug 01; 41 AB - A duodenal hematoma secondary to blunt -abdominal trauma is a relatively rare condition and is usually managed conservatively. We report a case of a post-traumatic duodenal hematoma after a road traffic accident in a 10-year-old boy, who presented with progressive vomiting 3 weeks after the accident. The case was managed using serial esophagogastroduodenoscopy (EGD) with dilatation. Controlled radial expansion (CRE) balloon dilatation was performed 4 times over a period of 11 weeks. The patient recovered uneventfully and remained asymptomatic at the 3-month follow-up after the last endoscopic dilatation. This case highlights the applicability of EGD with CRE balloon dilatation as an alternative to surgical treatment in patients with symptomatic post-traumatic duodenal hematomas.