• Saudi Med J · Aug 2020

    Case Reports

    Endoscopic dilatation as a new technique in managing pediatric duodenal hematoma.

    • Fahad M Alharbi, Zaki A Abo Amer, Khalel H Hamamesh, and Sarah N Algubaisi.
    • Department of Pediatrics, Prince Sultan Military Medical City, Riyadh, Kingdom of Saudi Arabia. E-mail. dr.fahadalharbi@outlook.com.
    • Saudi Med J. 2020 Aug 1; 41 (8): 874877874-877.

    AbstractA 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 trafficc 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.

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