Intramural duodenal hematoma: clinical course and imaging findings

Acta Radiol Open. 2019 Apr 8;8(4):2058460119836256. doi: 10.1177/2058460119836256. eCollection 2019 Apr.

Abstract

Background: Intramural duodenal hematoma is a rare condition. Different imaging modalities are at hand for diagnosis.

Purpose: To identify patients with intramural duodenal hematoma and report imaging findings and clinical courses.

Material and methods: Typical imaging patterns using ultrasound, computed tomography, and magnetic resonance imaging were carried out on 10 patients.

Results: The mean patient age was 7.5 years. The average disease duration was 13 months. Clinical signs of improvement were observed within 16 days. Residues were still detectable at long-term follow-up.

Conclusion: For patients with intramural duodenal wall hematoma, diagnosis should be considered early. Typical imaging findings should be known to ensure optimal treatment.

Keywords: Abdomen/GI; adults and pediatrics; computed tomography; hemorrhage; small bowel; ultrasound.