Laparoscopic Drainage of a Traumatic Intramural Duodenal Hematoma in a Child: A Case Report
Toshihito Uehara, Shin Shinyama, Hideo Kidogawa, Kohji Okamoto
TL;DR
A 10-year-old girl with a rare duodenal injury from trauma was successfully treated with laparoscopic surgery after conservative methods failed.
Contribution
This case report highlights laparoscopic drainage as a viable treatment option for traumatic intramural duodenal hematoma in children.
Findings
A 7.0 × 4.5 cm intramural duodenal hematoma was successfully drained laparoscopically.
The patient had an uneventful postoperative recovery.
Laparoscopic intervention was effective after conservative management failed.
Abstract
Intramural duodenal hematoma (IDH) is a rare event of blunt abdominal trauma in children. A 10-year-old female with IgA nephropathy sustained trauma and presented with duodenal obstruction secondary to IDH. Initial conservative management failed, prompting surgical intervention with laparoscopy. Intraoperatively, a 7.0 × 4.5 cm IDH was detected, and blood clot was evacuated. Postoperative recovery was uneventful. This case demonstrates that laparoscopic drainage can be a viable alternative for pediatric patients.
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Taxonomy
TopicsAbdominal Trauma and Injuries · Trauma Management and Diagnosis · Congenital Diaphragmatic Hernia Studies