A case of traumatic intramural hematoma of the duodenum effectively treated with ultrasonically guided aspiration drainage and endoscopic balloon catheter dilatation
| Autor: | Kazuhiro Uragami, Isao Yataka, Mamoru Matumoto, Shingo Nishioka, Yasuhiko Matsuzono, Hiroshi Tokuyama, Misako Doi, Kenichi Aizawa, Takayuki Yonezawa |
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| Rok vydání: | 1991 |
| Předmět: |
Male
medicine.medical_specialty Lumen (anatomy) Suction Catheterization Hematoma medicine Humans Duodenal Diseases Duodenoscopy Ultrasonography business.industry Biopsy Needle Gastroenterology Balloon catheter Middle Aged medicine.disease Surgery medicine.anatomical_structure Duodenum Abdomen Accidental Falls Radiology business Abdominal surgery |
| Zdroj: | Gastroenterologia Japonica. 26:218-223 |
| ISSN: | 0435-1339 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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