Cases reported "Duodenal Diseases"

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1/8. Case of duodenal haematoma treated with ultrasound guided drainage.

    Duodenal haematoma usually occurs secondary to blunt abdominal trauma(1), although more recently it has been recognized as a complication of endoscopic duodenal biopsy(2). The two established management strategies are to treat conservatively until resolution of the haematoma occurs or to surgically evacuate the haematoma. We present a case of duodenal haematoma that was successfully treated by ultrasound guided drainage when no improvement occurred with conservative treatment.
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ranking = 1
keywords = haematoma
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2/8. Massive dissecting intramural duodenal haematoma following endoscopic haemostasis of a bleeding duodenal ulcer.

    Intramural duodenal haematoma is a rare injury of the duodenum. Most reported cases are secondary to blunt trauma to the abdomen. Such injury following endoscopic intervention is even rarer, and there are no definite guidelines for its management. We report a case where endoscopic haemostasis of a bleeding duodenal ulcer resulted in a massive dissecting intramural duodenal haematoma with gastric outlet obstruction and obstructive jaundice.
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ranking = 0.75
keywords = haematoma
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3/8. Duodenal necrosis and intramural haematoma complicating acute pancreatitis.

    Although segmental bowel necrosis is a recognized complication of pancreatitis, the duodenum is rarely involved. We report a unique case of acute duodenal obstruction characterized by transmural necrosis and intramural duodenal haematoma in a young man with acute alcohol-induced pancreatitis. The patient recovered following pancreaticoduodenectomy.
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ranking = 0.625
keywords = haematoma
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4/8. Massive intramural duodenal haematoma following blunt abdominal trauma. Case report.

    We report a case of a massive intramural duodenal haematoma following blunt abdominal trauma. The value of computed tomography and other imaging modalities is discussed.
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ranking = 0.625
keywords = haematoma
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5/8. Duodenal haematoma in association with coeliac axis stenosis.

    Duodenal haematoma is now a well-established clinical entity. The aetiology, however, is not always clear. Trauma or bleeding due to anticoagulant therapy is the cause in most cases. It is suspected that unreported minor trauma may cause the remainder. A case is reported in which the pancreaticoduodenal circulation was markedly dilated and tortuous because of severe coeliac axis stenosis. It is suggested that no trauma is required in this situation to cause bleeding, which may be due to spontaneous repture of the smaller vasa recta.
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ranking = 0.625
keywords = haematoma
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6/8. Intramural haematoma of the duodenum following blunt abdominal injury--the place for conservative treatment.

    Two patients with intramural haematoma of the duodenum following blunt abdominal injury are presented. They responded well to conservative treatment. Complete resolution of the duodenal obstruction was demonstrated by consecutive radiological studies. Because haematomas usually resolve spontaneously, awareness and diagnosis of this rare condition are important in order to prevent unnecessary operation.
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ranking = 0.75
keywords = haematoma
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7/8. Intramural haematoma of the duodenum.

    Five cases of traumatic intramural haematoma of the duodenum occurring in children are presented. Four of the cases were treated conservatively with nasogastric aspiration and intravenous fluids and it is suggested that this should be the treatment of choice in the majority of cases. Two of the cases were diagnosed initially as having appendicitis and during the exploratory procedure in one of these cases the haematoma was evacuated.
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ranking = 0.75
keywords = haematoma
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8/8. Intramural haematoma of the duodenum.

    Intramural duodenal haematoma secondary to blunt abdominal trauma is a rare injury. One case is reported, and the clinical features, diagnosis and management are discussed.
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ranking = 0.625
keywords = haematoma
(Clic here for more details about this article)


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