Intramural haematoma of the duodenum following endoscopic biopsy: an unusual complication of non-therapeutic endoscopy in children

Intramural duodenal hematoma after upper gastrointestinal endoscopy

“…All standard coagulation parameters were within the limits of the norm. Few occurrences are reported without a predisposing factor [5][6][7] as in this case.…”

“…As per the published literature of this uncommon condition, most patients recover under conservative management [4][5][6][7][8][9][13][14][15]. Surveillance for the development of complications from pancreatic or biliary duct obstruction secondary to the duodenal hematoma, as well as prevention of secondary infection of the hematoma appear to be pre-eminent goals of conservative management.…”

“…Surveillance for the development of complications from pancreatic or biliary duct obstruction secondary to the duodenal hematoma, as well as prevention of secondary infection of the hematoma appear to be pre-eminent goals of conservative management. Nasogastric suction, fluid and electrolyte replacement, and parenteral nutrition may be the treatment of choice in uncomplicated cases [1,2,7,11,15]. Surgical intervention may be reserved for cases with the occurrence of perforation, fistula formation and bile or pancreatic duct compression [11,14,15].…”

Duodenal Hematoma After Esophagogastroduodenoscopy: Case Report

“…Ancak yapılan yayınlarda semptomatik tedavi ile hastaların çoğun-luğunda iki-üç haftada iyileşme olduğu bildirilmiştir. 3,6,10,13,17 Semptomatik tedavinin en önemli amacı, DH'ye ikincil gelişecek pankreatik ve safra kanalları tıkanıklığının önlenmesinin yanında hematoma ikincil gelişebilecek enfeksiyonların önlenmesidir. Komplike olmayan hastalarda nazogastrik serbest drenaj, sistemik antibiyotik, sıvı-elektrolit tedavisi ve total parenteral beslenme tercih edilebilmektedir.…”

“…Cerrahi tedavi perforasyon, fistül oluşumu ve safra veya pankreatik kanallara bası durumunda uygulanabilmektedir. 2,17,18 Ulaş Emre AKBULUT ve ark.…”