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Weekitt Kittisupamongkol, MD

	Since this article does not have an abstract, we have provided the first 108 words of the full text and any section headings.

In the August 2008 issue of Archives, Weil and colleagues¹ describe an interesting case of a man with duodenal hematoma. The authors conclude that the patient had no apparent risk factors; I disagree. The authors do not include Glanzmann thrombasthenia among the different possible diagnoses. While duodenal hematoma from such platelet-aggregation defect is reported to manifest in childhood,^2-3 the possibility that the patient has Glanzmann thrombasthenia cannot be ruled out from the initial presentation.^{1, 4} Bleeding time must be performed to search for this detrimental disease.

AUTHOR INFORMATION
Correspondence: Dr Kittisupamongkol, Hua Chiew Hospital, 665 Bumrungmuang Rd, Bangkok 10100, Thailand (weekitti@gmail.com).

Financial Disclosure: None reported.

1. Weil BR, Howard TJ, Zyromski NJ. Spontaneous duodenal hematoma: a rare cause of upper gastrointestinal tract obstruction. Arch Surg. 2008;143(8):794-796. FREE FULL TEXT 2. Ikeda T, Koshinaga T, Inoue M, Goto H, Sugitou K, Hagiwara N. Traumatic intramural hematoma of duodenum with thrombasthenia in childhood. Pediatr Int. 2007;49(5):668-671. FULL TEXT | WEB OF SCIENCE | PUBMED 3. DeRose JJ Jr, Diamond S, Bergman K. Spontaneous duodenal hematoma in a patient with Glanzmann's thrombasthenia. J Pediatr Surg. 1997;32(9):1341-1343. FULL TEXT | WEB OF SCIENCE | PUBMED 4. Nurden AT. Glanzmann thrombasthenia. Orphanet J Rare Dis. 2006;1:10. FULL TEXT | PUBMED

Arch Surg. 2009;144(1):93-94.

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RELATED ARTICLE

Spontaneous Duodenal Hematoma: A Rare Cause of Upper Gastrointestinal Tract Obstruction
Brent R. Weil, Thomas J. Howard, and Nicholas J. Zyromski
Arch Surg. 2008;143(8):794-796.
ABSTRACT | FULL TEXT