RT Journal Article
SR Electronic
T1 Endoscopic dilatation as a new technique in managing pediatric duodenal hematoma
JF Saudi Medical Journal
JO Saudi Med J
FD Prince Sultan Military Medical City
SP 874
OP 877
DO 10.15537/smj.2020.8.25128
VO 41
IS 8
A1 Alharbi, Fahad M.
A1 Abo Amer, Zaki A.
A1 Hamamesh, Khalel H.
A1 Algubaisi, Sarah N.
YR 2020
UL http://smj.org.sa/content/41/8/874.abstract
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.