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A case of traumatic intramural hematoma of the duodenum effectively treated with ultrasonically guided aspiration drainage and endoscopic balloon catheter dilatation

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Summary

A 52-year-old man was admitted on February 15, 1990, with hiccups and vomiting. He had been well until 13 days before admission when he stumbled and fell when intoxicated, striking his abdomen. A diagnosis of intramural hematoma was made with computerized tomography and sonography of the abdomen after admission, revealing a mass that was intimately related to the duodenum. Treatment of the intramural duodenal hematoma is controversial. However, this case illustrates the ideal situation where conservative management could be applied with total parenteral nutrition, percutaneous aspiration drainage, and endoscopic balloon catheter dilatation of the narrowed lumen of the duodenum. The patient’s subsequent course supports the concept of planned conservative management.

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Authors and Affiliations

  1. Department of Internal Medicine, Hashimoto Municipal Hospital, Wakayama, Japan

    Kenichi Aizawa M.D., Hiroshi Tokuyama, Takayuki Yonezawa, Misako Doi, Yasuhiko Matsuzono & Mamoru Matumoto

  2. Department of Internal Medicine, Wakayama Medical School, Wakayama, Japan

    Kazuhiro Uragami, Shingo Nishioka & Isao Yataka

Authors
  1. Kenichi Aizawa M.D.
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  2. Hiroshi Tokuyama
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  3. Takayuki Yonezawa
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  4. Misako Doi
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  5. Yasuhiko Matsuzono
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  6. Mamoru Matumoto
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  7. Kazuhiro Uragami
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  8. Shingo Nishioka
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  9. Isao Yataka
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Aizawa, K., Tokuyama, H., Yonezawa, T. et al. A case of traumatic intramural hematoma of the duodenum effectively treated with ultrasonically guided aspiration drainage and endoscopic balloon catheter dilatation. Gastroenterol Jpn 26, 218–223 (1991). https://doi.org/10.1007/BF02811084

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  • DOI: https://doi.org/10.1007/BF02811084

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