Duodenal hematoma - Revision history

Ostermayer: Prepared the page for translation

2026-01-04T22:50:10Z

Prepared the page for translation

← Older revision		Revision as of 22:50, 4 January 2026
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			<languages/>
			<translate>

	==Background==		==Background==
	*Relatively uncommon, occurs most frequently in children after blunt [[abdominal trauma]]<ref>Shiozawa K, Watanabe M, Igarashi Y, Matsukiyo Y, Matsui T, Sumino Y. Acute pancreatitis secondary to intramural duodenal hematoma: Case report and literature review. World J Radiol. 2010;2(7):283-288. doi:10.4329/wjr.v2.i7.283</ref><ref>Deambrosis K, Subramanya MS, Memon B, Memon MA. Delayed duodenal hematoma and pancreatitis from a seatbelt injury. West J Emerg Med. 2011;12(1):128-130.</ref>
			*Relatively uncommon, occurs most frequently in children after blunt [[Special:MyLanguage/abdominal trauma\|abdominal trauma]]<ref>Shiozawa K, Watanabe M, Igarashi Y, Matsukiyo Y, Matsui T, Sumino Y. Acute pancreatitis secondary to intramural duodenal hematoma: Case report and literature review. World J Radiol. 2010;2(7):283-288. doi:10.4329/wjr.v2.i7.283</ref><ref>Deambrosis K, Subramanya MS, Memon B, Memon MA. Delayed duodenal hematoma and pancreatitis from a seatbelt injury. West J Emerg Med. 2011;12(1):128-130.</ref>
	**May also occur as a complication of endoscopy		**May also occur as a complication of endoscopy
	*Diagnosis difficult as symptoms often delayed<ref>Shiozawa K, Watanabe M, Igarashi Y, Matsukiyo Y, Matsui T, Sumino Y. Acute pancreatitis secondary to intramural duodenal hematoma: Case report and literature review. World J Radiol. 2010;2(7):283-288. doi:10.4329/wjr.v2.i7.283</ref><ref>Deambrosis K, Subramanya MS, Memon B, Memon MA. Delayed duodenal hematoma and pancreatitis from a seatbelt injury. West J Emerg Med. 2011;12(1):128-130.</ref>		*Diagnosis difficult as symptoms often delayed<ref>Shiozawa K, Watanabe M, Igarashi Y, Matsukiyo Y, Matsui T, Sumino Y. Acute pancreatitis secondary to intramural duodenal hematoma: Case report and literature review. World J Radiol. 2010;2(7):283-288. doi:10.4329/wjr.v2.i7.283</ref><ref>Deambrosis K, Subramanya MS, Memon B, Memon MA. Delayed duodenal hematoma and pancreatitis from a seatbelt injury. West J Emerg Med. 2011;12(1):128-130.</ref>
	*Estimated mortality associated with duodenal injury ranges from 5 to 30% <ref> García Santos E, Soto Sánchez A, Verde JM, Marini CP, Asensio JA, Petrone P. Duodenal injuries due to trauma: Review of the literature. Cir Esp. 2015 Feb;93(2):68-74. English, Spanish. doi: 10.1016/j.ciresp.2014.08.004. Epub 2014 Oct 27. PMID: 25443151.</ref>		*Estimated mortality associated with duodenal injury ranges from 5 to 30% <ref> García Santos E, Soto Sánchez A, Verde JM, Marini CP, Asensio JA, Petrone P. Duodenal injuries due to trauma: Review of the literature. Cir Esp. 2015 Feb;93(2):68-74. English, Spanish. doi: 10.1016/j.ciresp.2014.08.004. Epub 2014 Oct 27. PMID: 25443151.</ref>


	==Clinical Features==		==Clinical Features==

	[[File:PMC4508937 crj-02-198-g002.png\|thumb\|EGD showing extrinsic compression by a bluish swelling (extra-parietal hematoma) in the first part of the duodenum, blocking passage in the second duodenal portion.]]		[[File:PMC4508937 crj-02-198-g002.png\|thumb\|EGD showing extrinsic compression by a bluish swelling (extra-parietal hematoma) in the first part of the duodenum, blocking passage in the second duodenal portion.]]
	*Delayed onset of:		*Delayed onset of:
	**[[Abdominal pain]]		**[[Special:MyLanguage/Abdominal pain\|Abdominal pain]]
	**Distension		**Distension
	**[[Nausea and vomiting]]		**[[Special:MyLanguage/Nausea and vomiting\|Nausea and vomiting]]
	**[[Hematemesis]]		**[[Special:MyLanguage/Hematemesis\|Hematemesis]]
	**Diminished bowel sounds		**Diminished bowel sounds


	==Differential Diagnosis==		==Differential Diagnosis==

			</translate>
	{{Abdominal trauma DDX}}		{{Abdominal trauma DDX}}
			<translate>


	==Evaluation==		==Evaluation==

	[[File:PMC4435325 crj-01-209-g001.png\|thumb\|CT showing an 11 x 5 cm intramural duodenal hematoma secondary to pancreatitis (not seen).]]		[[File:PMC4435325 crj-01-209-g001.png\|thumb\|CT showing an 11 x 5 cm intramural duodenal hematoma secondary to pancreatitis (not seen).]]
	[[File:PMC4677192 CRIGM2015-201675.007.png\|thumb\|Abdominal CT showing an 8 cm × 6 cm × 11cm hematoma on the lateral duodenal wall, compressing and displacing the duodenum without signs of active extravasation.]]		[[File:PMC4677192 CRIGM2015-201675.007.png\|thumb\|Abdominal CT showing an 8 cm × 6 cm × 11cm hematoma on the lateral duodenal wall, compressing and displacing the duodenum without signs of active extravasation.]]

	===Workup===		===Workup===

	Labs:		Labs:
	*Serum lipase/amylase may be associated with duodenal injury, but both are not sensitive/specific.		*Serum lipase/amylase may be associated with duodenal injury, but both are not sensitive/specific.


	===Diagnosis===		===Diagnosis===

	*If hemodynamically stable: CT abdomen with IV contrast		*If hemodynamically stable: CT abdomen with IV contrast
	*If hemodynamically unstable: OR		*If hemodynamically unstable: OR


	==Management==		==Management==


	===Hemodynamically stable===		===Hemodynamically stable===
	*Conservative management with NG tube placement, enteral rest, [[IVF]], and pain control
			*Conservative management with NG tube placement, enteral rest, [[Special:MyLanguage/IVF\|IVF]], and pain control


	===Hemodynamically unstable: ===		===Hemodynamically unstable: ===

	*OR for abdominal exploration		*OR for abdominal exploration


	==Disposition==		==Disposition==

	*Admit		*Admit


	==Complications==		==Complications==


	===Acute===		===Acute===

	*Rarely caused in isolation. Other commonly involved sites include liver, pancreas, stomach/intestinal, and vascular injuries		*Rarely caused in isolation. Other commonly involved sites include liver, pancreas, stomach/intestinal, and vascular injuries
	*Gastric outlet or intestinal obstruction		*Gastric outlet or intestinal obstruction


	===Subacute===		===Subacute===
	*Intra-abdominal [[abscess]]
			*Intra-abdominal [[Special:MyLanguage/abscess\|abscess]]
	*Duodenal fistula		*Duodenal fistula
	*Post-traumatic [[pancreatitis]]		*Post-traumatic [[Special:MyLanguage/pancreatitis\|pancreatitis]]



	==See Also==		==See Also==
	*[[Abdominal trauma]]
			*[[Special:MyLanguage/Abdominal trauma\|Abdominal trauma]]


	==External Links==		==External Links==
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	==References==		==References==

	<references/>		<references/>

	[[Category:GI]]		[[Category:GI]]
			</translate>

Rossdonaldson1: /* See Also */

2023-01-04T22:49:47Z

Rossdonaldson1 at 22:48, 4 January 2023

2023-01-04T22:48:39Z

← Older revision		Revision as of 22:48, 4 January 2023
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	===Hemodynamically unstable: ===		===Hemodynamically unstable: ===
	*OR for abdominal exploration		*OR for abdominal exploration

			==Disposition==
			*Admit

	==Complications==		==Complications==
	Acute ~~setting:~~		===Acute===
	*Rarely caused in isolation. Other commonly involved sites include liver, pancreas, stomach/intestinal, and vascular injuries		*Rarely caused in isolation. Other commonly involved sites include liver, pancreas, stomach/intestinal, and vascular injuries
	*Gastric outlet or intestinal obstruction		*Gastric outlet or intestinal obstruction

	~~During admission:~~		===Subacute===
	*Intra-abdominal [[abscess]]		*Intra-abdominal [[abscess]]
	*Duodenal fistula		*Duodenal fistula
	*Post-traumatic [[pancreatitis]]		*Post-traumatic [[pancreatitis]]

	~~==Disposition==~~
	*Admit

	==See Also==		==See Also==

Rossdonaldson1: /* Evaluation */

2023-01-04T22:47:40Z

Evaluation

← Older revision		Revision as of 22:47, 4 January 2023
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	==Evaluation==		==Evaluation==
	[[File:PMC4435325 crj-01-209-g001.png\|thumb\|CT showing an 11 x 5 cm intramural duodenal hematoma secondary to pancreatitis (not seen).]]		[[File:PMC4435325 crj-01-209-g001.png\|thumb\|CT showing an 11 x 5 cm intramural duodenal hematoma secondary to pancreatitis (not seen).]]
			[[File:PMC4677192 CRIGM2015-201675.007.png\|thumb\|Abdominal CT showing an 8 cm × 6 cm × 11cm hematoma on the lateral duodenal wall, compressing and displacing the duodenum without signs of active extravasation.]]
	===Workup===		===Workup===
	Labs:		Labs:

Rossdonaldson1: /* Clinical Features */

2023-01-04T22:44:10Z

Clinical Features

← Older revision		Revision as of 22:44, 4 January 2023
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	==Clinical Features==		==Clinical Features==
			[[File:PMC4508937 crj-02-198-g002.png\|thumb\|EGD showing extrinsic compression by a bluish swelling (extra-parietal hematoma) in the first part of the duodenum, blocking passage in the second duodenal portion.]]
	*Delayed onset of:		*Delayed onset of:
	**[[Abdominal pain]]		**[[Abdominal pain]]

Rossdonaldson1: /* Management */

2023-01-04T22:41:53Z

Management

← Older revision		Revision as of 22:41, 4 January 2023
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	==Management==		==Management==
	Hemodynamically stable:		===Hemodynamically stable===
	*Conservative management with NG tube placement, enteral rest, [[IVF]], and pain control		*Conservative management with NG tube placement, enteral rest, [[IVF]], and pain control

	Hemodynamically unstable:		===Hemodynamically unstable: ===
	*OR for abdominal exploration		*OR for abdominal exploration

Rossdonaldson1: /* Evaluation */

2023-01-04T21:29:41Z

Evaluation

← Older revision		Revision as of 21:29, 4 January 2023
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	==Evaluation==		==Evaluation==
			[[File:PMC4435325 crj-01-209-g001.png\|thumb\|CT showing an 11 x 5 cm intramural duodenal hematoma secondary to pancreatitis (not seen).]]
	===Workup===		===Workup===
	Labs:		Labs:

Kennybroccoli: /* Background */

2022-12-15T23:14:39Z

Background

← Older revision		Revision as of 23:14, 15 December 2022
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	==Background==		==Background==
	*Relatively uncommon, occurs most frequently in children after blunt abdominal trauma<ref>Shiozawa K, Watanabe M, Igarashi Y, Matsukiyo Y, Matsui T, Sumino Y. Acute pancreatitis secondary to intramural duodenal hematoma: Case report and literature review. World J Radiol. 2010;2(7):283-288. doi:10.4329/wjr.v2.i7.283</ref><ref>Deambrosis K, Subramanya MS, Memon B, Memon MA. Delayed duodenal hematoma and pancreatitis from a seatbelt injury. West J Emerg Med. 2011;12(1):128-130.</ref>		*Relatively uncommon, occurs most frequently in children after blunt [[abdominal trauma]]<ref>Shiozawa K, Watanabe M, Igarashi Y, Matsukiyo Y, Matsui T, Sumino Y. Acute pancreatitis secondary to intramural duodenal hematoma: Case report and literature review. World J Radiol. 2010;2(7):283-288. doi:10.4329/wjr.v2.i7.283</ref><ref>Deambrosis K, Subramanya MS, Memon B, Memon MA. Delayed duodenal hematoma and pancreatitis from a seatbelt injury. West J Emerg Med. 2011;12(1):128-130.</ref>
	**May also occur as a complication of endoscopy		**May also occur as a complication of endoscopy
	*Diagnosis difficult as symptoms often delayed<ref>Shiozawa K, Watanabe M, Igarashi Y, Matsukiyo Y, Matsui T, Sumino Y. Acute pancreatitis secondary to intramural duodenal hematoma: Case report and literature review. World J Radiol. 2010;2(7):283-288. doi:10.4329/wjr.v2.i7.283</ref><ref>Deambrosis K, Subramanya MS, Memon B, Memon MA. Delayed duodenal hematoma and pancreatitis from a seatbelt injury. West J Emerg Med. 2011;12(1):128-130.</ref>		*Diagnosis difficult as symptoms often delayed<ref>Shiozawa K, Watanabe M, Igarashi Y, Matsukiyo Y, Matsui T, Sumino Y. Acute pancreatitis secondary to intramural duodenal hematoma: Case report and literature review. World J Radiol. 2010;2(7):283-288. doi:10.4329/wjr.v2.i7.283</ref><ref>Deambrosis K, Subramanya MS, Memon B, Memon MA. Delayed duodenal hematoma and pancreatitis from a seatbelt injury. West J Emerg Med. 2011;12(1):128-130.</ref>

Kennybroccoli: /* Differential Diagnosis */

2022-12-15T23:14:09Z

Differential Diagnosis

← Older revision		Revision as of 23:14, 15 December 2022
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	==Differential Diagnosis==		==Differential Diagnosis==
			{{Abdominal trauma DDX}}

	==Evaluation==		==Evaluation==

Kennybroccoli: /* Disposition */

2022-12-15T23:13:28Z

Disposition

← Older revision		Revision as of 23:13, 15 December 2022
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	==Disposition==		==Disposition==
			*Admit

	==See Also==		==See Also==

← Older revision		Revision as of 22:49, 4 January 2023
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	==See Also==		==See Also==
			*[[Abdominal trauma]]

	==External Links==		==External Links==