TY - JOUR T1 - Endoscopic dilatation as a new technique in managing pediatric duodenal hematoma JF - Saudi Medical Journal JO - Saudi Med J SP - 874 LP - 877 DO - 10.15537/smj.2020.8.25128 VL - 41 IS - 8 AU - Fahad M. Alharbi AU - Zaki A. Abo Amer AU - Khalel H. Hamamesh AU - Sarah N. Algubaisi Y1 - 2020/08/01 UR - http://smj.org.sa/content/41/8/874.abstract N2 - 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. ER -