십이지장 벽내 혈종 1예 = A case of Intramural Hematoma on Duodenum

다국어 초록 (Multilingual Abstract)

Intramural duodenal hematoma is an uncommon cause of intestinal obstruction. Most often the hematoma develops after blunt abdominal trauma and less it is due to pancreatic disease and other disease.




The diagnosis is usually made with radiologic studies or endoscopy or at the time of surgery.




Once the diagnosis is established, conservative management consisting of intravenous alimentation, fluid electrolyte replacement，nasogastric suctioning and correction of coagulation defects is recommended, A number of patients still require a delayed surgical procedure, most commonly a simple evacuation of the hematoma or a gastrojejunostomy. This case is an intramural duodenal hematoma due to trauma which was treated with bypass gastrojejunostomy operation.