Traumatic Intramural Duodenal Hematoma in a Patient with Thrombasthenia.

DOI 5 References
  • KATO Maiko
    Department of Pediatrics, Nihon University School of Medicine
  • MUGISHIMA Hideo
    Department of Pediatrics, Nihon University School of Medicine Department of Cell Regeneration & Transplantation, Nihon University School of Medicine
  • YAMADA Ako
    Department of Pediatrics, Nihon University School of Medicine
  • SHICHINO Hiroyuki
    Department of Pediatrics, Nihon University School of Medicine
  • CHIN Motoaki
    Department of Pediatrics, Nihon University School of Medicine
  • HARADA Kensuke
    Department of Pediatrics, Nihon University School of Medicine

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  • 閉鎖性腹部外傷により十二指腸壁内血腫をきたした血小板無力症の１例

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Abstract

We report a 7-year-old girl with thrombasthenia and duodenal hematoma as a result of a mild blunt traumatic injury. She had fallen while holding a baby and 2 hours later was admitted to the hospital because of upper abdominal pain and vomiting. Laboratory data and an abdominal computed tomography scan showed a duodenal intramural hematoma with duodenal stenosis. She was managed with nonoral intake, peripheral intravenous fluid, and blood transfusion (concentrated red cells 2U, platelets 10 U×3 times).On the 8th day after her admission, the gastriduodenography showed that the duodenum was cleared despite its stenosis, and she started eating. One month after the injury, an abdominal computed tomography scan showed that the duodenal intramural hematoma had completely disappeared, and she was discharged. This duodenal injury was success-fully treated with conservative therapy. The case suggests that a computed tomography scan should be applied without delay in patients with thrombasthenia and a history of trauma because of the potential for serious bleeding.

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