Endoscopic dilatation as a new technique in managing pediatric duodenal hematoma

Authors

• Fahad M. Alharbi, From the Department of Pediatrics (Alharbi, Algubaisi), Prince Sultan Military Medical City, Riyadh; from the Department of Pediatrics (Abo Amer); and from the Department of Surgery (Hamamesh), Al-Kharj Military Hospital, Al Kharj, Kingdom of Saudi Arabia
• Khalel H. Hamamesh, From the Department of Pediatrics (Alharbi, Algubaisi), Prince Sultan Military Medical City, Riyadh; from the Department of Pediatrics (Abo Amer); and from the Department of Surgery (Hamamesh), Al-Kharj Military Hospital, Al Kharj, Kingdom of Saudi Arabia
• Sarah N. Algubaisi, From the Department of Pediatrics (Alharbi, Algubaisi), Prince Sultan Military Medical City, Riyadh; from the Department of Pediatrics (Abo Amer); and from the Department of Surgery (Hamamesh), Al-Kharj Military Hospital, Al Kharj, Kingdom of Saudi Arabia

Abstract

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.

Article Type

Case Report

First Page

874

Last Page

877

Recommended Citation

Alharbi, Fahad M.; Hamamesh, Khalel H.; and Algubaisi, Sarah N. (2020) "Endoscopic dilatation as a new technique in managing pediatric duodenal hematoma," Saudi Medical Journal: Vol. 41: Iss. 8, Article 14.
DOI: https://doi.org/10.15537/smj.2020.8.25128