How is duodenal hematoma diagnosed?

How is duodenal hematoma diagnosed?

Duodenal hematoma in general represents a nonsurgical injury, in that the best results are obtained with conservative or nonsurgical management. It can be diagnosed either by contrast-enhanced CT scan or upper gastrointestinal (UGI) study (Figure 7).

What is a hematoma of the duodenum?

Duodenal hematoma is a rare complication of endoscopic duodenal biopsy that occurs mainly in children or adults with impaired coagulation. The clinical presentation consists of signs of intestinal obstruction, and pancreatitis and direct hyperbilirubinemia are possible complications caused by ampullary obstruction.

What causes duodenal hematoma?

Most intramural duodenal hematomas are caused by blunt trauma, but uncommon non-traumatic causes include anticoagulant therapy, bleeding disorders, pancreatitis, and endoscopic interventions [6].

How is duodenal injury diagnosed?

Double-contrast computed tomography (CT) scan is the most valuable method for diagnosing duodenal perforation. It should be performed whenever there is a clinical suspicion and the patient does not need immediate surgery.

What is duodenal injury?

Duodenal injuries are due either to penetrating (stab, gunshot) wounds or to blunt trauma (motor vehicle accident). Because the duodenum is immobile in retroperitoneum, most perforations occur there. Mortality of untreated duodenal rupture is 65%.

Can a hematoma move?

The slow process of reabsorption of hematomas can allow the broken down blood cells and hemoglobin pigment to move in the connective tissue. For example, a patient who injures the base of their thumb might cause a hematoma, which will slowly move all through their finger within a week.

Can you injure your duodenum?

What happens if hematoma goes untreated?

A hematoma is similar to a bruise or blood clot but, if left untreated, it can damage the tissue and lead to infection. An injury to the nose can rupture blood vessels in and around the septum where there is both bone and cartilage.

What side is your duodenum on?

right side
The duodenum is a 20-30 cm C-shaped hollow viscus predominantly on the right side of the vertebral column. It lies at the level of L1-3 and the convexity of the duodenum (called the duodenal sweep by radiologists) usually encompasses the head of the pancreas.

How serious is a perforated duodenal ulcer?

Perforation. A rarer complication of stomach ulcers is the lining of the stomach splitting open, known as perforation. This can be very serious because it enables the bacteria that live in your stomach to escape and infect the lining of your abdomen (peritoneum). This is known as peritonitis.

What is a duodenal injury?

How do you treat an abdominal hematoma?

The condition is usually treated conservatively with pain control and supportive treatment. In a few cases, arterial embolization or surgical intervention are required to stop the bleeding.