Nonoperative treatment of duodenal hematomata in childhood
| Autor: | Harry C. Bishop, Leif O. Holgersen |
|---|---|
| Rok vydání: | 1977 |
| Předmět: |
Male
Parenteral Nutrition medicine.medical_specialty Fluid administration Abdominal pain Exploratory laparotomy medicine.medical_treatment Suction Hematoma Blunt medicine Humans Upper gastrointestinal Duodenal Diseases Child business.industry General surgery General Medicine medicine.disease Nonoperative treatment Surgery Radiography Abdominal trauma Pediatrics Perinatology and Child Health Female Duodenal Obstruction medicine.symptom business |
| Zdroj: | Journal of Pediatric Surgery. 12:11-17 |
| ISSN: | 0022-3468 |
| DOI: | 10.1016/0022-3468(77)90290-1 |
| Popis: | Blunt abdominal trauma, often apparently trivial in nature, may produce intramural hematoma causing complete duodenal obstruction. A child with abdominal pain, persistent vomiting and upper abdominal tenderness should be carefully questioned for a history of trauma. Prompt upper gastrointestinal x-rays will allow early and definitive diagnosis. Previously recommended treatment varies from immediate surgical intervention to observation followed by exploratory laparotomy at a later date. We have treated nine patients with duodenal obstruction caused by intramural hematoma of which eight were successfully managed with nasogastric suction and parenteral fluid administration. One patient had the hematoma evacuated at surgery. This report reviews our experience. |
| Databáze: | OpenAIRE |
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