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Volume 199, Issue 6, Pages e77-e78 (June 2010)


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Delayed duodenal intramural hematoma with obstruction

Chen-Wang Chang, M.D.ab, Ming-Jen Chen, M.D.ab, Shou-Chuan Shih, M.D.ab, Horng-Yuan Wang, M.D.ab, Chung-Hsin Tsai, M.D.c, Tsang-En Wang, M.D.ab, Wen-Hsiung Chang, M.D.abCorresponding Author Informationemail address

Received 22 April 2009; received in revised form 2 July 2009

Abstract 

An intramural duodenal hematoma with duodenal obstruction is usually a complication of blunt abdominal trauma, endoscopic biopsy, or peptic ulcer disease. Possible management strategies include conservative treatment, surgical evacuation, and percutaneous or endoscopic drainage. We report on a 40-year-old man with a remote history of trauma who presented with vomiting for 3 days. At surgery, he was found to have an intramural duodenal hematoma causing obstruction.

a Division of Gastroenterology, Department of Internal Medicine, Mackay Memorial Hospital, 92, Sec 2, Chung-Shan N Road, Taipei, Taiwan

b Mackay Medicine, Nursing and Management College, Taipei, Taiwan

c Division of General Surgery, Department of Surgery, Mackay Memorial Hospital, Taipei, Taiwan

Corresponding Author InformationCorresponding author. Tel.: +886-2-2543-3535; fax: +886-2-2543-3642

PII: S0002-9610(09)00682-5

doi:10.1016/j.amjsurg.2009.07.046


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