PT  - JOURNAL ARTICLE
AU  - Alharbi, Fahad M.
AU  - Abo Amer, Zaki A.
AU  - Hamamesh, Khalel H.
AU  - Algubaisi, Sarah N.
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.