This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Theodore C. Jewett, Jr, MD; Vincent Caldarola, MD; Melvyn P. Karp, MD; James E. Allen, MD; Donald R. Cooney, MD

Arch Surg. 1988;123(1):54-58.

Abstract
• Intramural duodenal hematoma in children is one of the least common injuries encountered. Because of the rarity of this problem, there has been little conformity of opinion as to the relative merits of operative vs nonoperative management. We reviewed 182 cases of this condition, of which 168 were taken from the English literature and 14 from our hospital. Pancreatitis was the most common associated intra-abdominal lesion (21%), while central nervous system, skeletal, and thoracic injuries (5%) accounted for the major extra-abdominal injuries. Hemophilia, von Willebrand's disease, and idiopathic thrombocytopenic purpura occurred in 7 cases and played a major role in the prognosis. Of these cases, 121 patients were treated surgically and 61 conservatively. The average hospitalization was 14 days for the surgical group and 11 days for the conservative group. There were 18 complications in the surgical group. It appears that most patients with intramural duodenal hematoma would respond well to conservative management. Surgery should be reserved for those cases that remain obstructed over seven to ten days or have evidence of perforation.

(Arch Surg 1988;123:54-58)

Author Affiliations
From the Departments of Surgery (Drs Jewett, Caldarola, Karp, Allen, and Cooney) and Pediatrics (Drs Jewett, Karp, and Cooney), and Section of Pediatric Surgery (Drs Jewett, Karp, Allen, and Cooney), The University at Buffalo, State University of New York; and Department of Pediatric Surgery, The Children's Hospital of Buffalo (Drs Jewett, Karp, Allen, and Cooney).

Footnotes
Accepted for publication Feb 4, 1987.

Reprint requests to Department of Pediatric Surgery, The Children's Hospital of Buffalo, 219 Bryant St, Buffalo, NY 14222 (Dr Jewett).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Spontaneous Duodenal Hematoma: A Rare Cause of Upper Gastrointestinal Tract Obstruction
Weil et al.
Arch Surg 2008;143:794-796.
ABSTRACT | FULL TEXT  

Pediatric Trauma: Current Concepts and Treatments
Vane et al.
J Intensive Care Med 2002;17:230-249.
ABSTRACT  

Duodenal haematoma occurs in children with bicycle injuries
Bass
BMJ 2001;323:754-754.
FULL TEXT