Large Duodenal Hematoma Causing an Ileus after an Endoscopic Duodenal Biopsy in a 6-Year-Old Child: A Case Report
Intramural duodenal hematoma (IDH) in children is a rare complication after esophagogastroduodenoscopy. It is commonly described in patients with additional disorders or risk factors, such as coagulopathy. We present a case of a previously healthy 6-year-old boy with a large obstructing intramural d...
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-12-01
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| Series: | Medicina |
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| Online Access: | https://www.mdpi.com/1648-9144/58/1/12 |
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| author | Benjamin Schiller Michael Radke Christina Hauenstein Carsten Müller Christian Spang Daniel A. Reuter Jan Däbritz Johannes Ehler |
| author_facet | Benjamin Schiller Michael Radke Christina Hauenstein Carsten Müller Christian Spang Daniel A. Reuter Jan Däbritz Johannes Ehler |
| author_sort | Benjamin Schiller |
| collection | DOAJ |
| description | Intramural duodenal hematoma (IDH) in children is a rare complication after esophagogastroduodenoscopy. It is commonly described in patients with additional disorders or risk factors, such as coagulopathy. We present a case of a previously healthy 6-year-old boy with a large obstructing intramural duodenal hematoma and concomitant pancreatitis after an elective esophagogastroduodenoscopy. The patient presented with typical symptoms of an IDH, such as abdominal pain and distension, nausea and vomiting. IDH was diagnosed using ultrasound and magnetic resonance imaging examination. Conservative management with gastric decompression using a nasogastric feeding tube, bowel rest, total parenteral nutrition and analgesia was performed. After three weeks, the patient was discharged from the hospital without any complaints. Interventional management of IDH in pediatric patients with a lack of response to conservative therapy or complicating IDH should be discussed in an interdisciplinary team. |
| first_indexed | 2024-03-10T01:00:37Z |
| format | Article |
| id | doaj.art-65aee4b34d944014bae640f3f8990b26 |
| institution | Directory Open Access Journal |
| issn | 1010-660X 1648-9144 |
| language | English |
| last_indexed | 2024-03-10T01:00:37Z |
| publishDate | 2021-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj.art-65aee4b34d944014bae640f3f8990b262023-11-23T14:35:28ZengMDPI AGMedicina1010-660X1648-91442021-12-015811210.3390/medicina58010012Large Duodenal Hematoma Causing an Ileus after an Endoscopic Duodenal Biopsy in a 6-Year-Old Child: A Case ReportBenjamin Schiller0Michael Radke1Christina Hauenstein2Carsten Müller3Christian Spang4Daniel A. Reuter5Jan Däbritz6Johannes Ehler7Department of Pediatrics, Rostock University Medical Center, 18057 Rostock, GermanyDepartment of Pediatrics, Rostock University Medical Center, 18057 Rostock, GermanyInstitute of Diagnostic and Interventional Radiology, Pediatric Radiology and Interventional Radiology, Rostock University Medical Center, 18057 Rostock, GermanyDepartment of Pediatric Surgery, Rostock University Medical Center, 18057 Rostock, GermanyDepartment of Anesthesiology and Intensive Care Medicine, Interdisciplinary Pediatric Intensive Care Medicine, Rostock University Medical Center, 18057 Rostock, GermanyDepartment of Anesthesiology and Intensive Care Medicine, Interdisciplinary Pediatric Intensive Care Medicine, Rostock University Medical Center, 18057 Rostock, GermanyDepartment of Pediatrics, Rostock University Medical Center, 18057 Rostock, GermanyDepartment of Anesthesiology and Intensive Care Medicine, Interdisciplinary Pediatric Intensive Care Medicine, Rostock University Medical Center, 18057 Rostock, GermanyIntramural duodenal hematoma (IDH) in children is a rare complication after esophagogastroduodenoscopy. It is commonly described in patients with additional disorders or risk factors, such as coagulopathy. We present a case of a previously healthy 6-year-old boy with a large obstructing intramural duodenal hematoma and concomitant pancreatitis after an elective esophagogastroduodenoscopy. The patient presented with typical symptoms of an IDH, such as abdominal pain and distension, nausea and vomiting. IDH was diagnosed using ultrasound and magnetic resonance imaging examination. Conservative management with gastric decompression using a nasogastric feeding tube, bowel rest, total parenteral nutrition and analgesia was performed. After three weeks, the patient was discharged from the hospital without any complaints. Interventional management of IDH in pediatric patients with a lack of response to conservative therapy or complicating IDH should be discussed in an interdisciplinary team.https://www.mdpi.com/1648-9144/58/1/12intramural duodenal hematomaileusendoscopypediatricscomplicationscase report |
| spellingShingle | Benjamin Schiller Michael Radke Christina Hauenstein Carsten Müller Christian Spang Daniel A. Reuter Jan Däbritz Johannes Ehler Large Duodenal Hematoma Causing an Ileus after an Endoscopic Duodenal Biopsy in a 6-Year-Old Child: A Case Report Medicina intramural duodenal hematoma ileus endoscopy pediatrics complications case report |
| title | Large Duodenal Hematoma Causing an Ileus after an Endoscopic Duodenal Biopsy in a 6-Year-Old Child: A Case Report |
| title_full | Large Duodenal Hematoma Causing an Ileus after an Endoscopic Duodenal Biopsy in a 6-Year-Old Child: A Case Report |
| title_fullStr | Large Duodenal Hematoma Causing an Ileus after an Endoscopic Duodenal Biopsy in a 6-Year-Old Child: A Case Report |
| title_full_unstemmed | Large Duodenal Hematoma Causing an Ileus after an Endoscopic Duodenal Biopsy in a 6-Year-Old Child: A Case Report |
| title_short | Large Duodenal Hematoma Causing an Ileus after an Endoscopic Duodenal Biopsy in a 6-Year-Old Child: A Case Report |
| title_sort | large duodenal hematoma causing an ileus after an endoscopic duodenal biopsy in a 6 year old child a case report |
| topic | intramural duodenal hematoma ileus endoscopy pediatrics complications case report |
| url | https://www.mdpi.com/1648-9144/58/1/12 |
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