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  • Title: Duodenal hematoma after upper endoscopy and biopsy in a 4-year-old girl.
    Author: Bechtel K, Moss RL, Leventhal JM, Spiro D, Abo A.
    Journal: Pediatr Emerg Care; 2006 Sep; 22(9):653-4. PubMed ID: 16983252.
    Abstract:
    We describe a 4-year-old girl who developed a duodenal hematoma after upper endoscopy and biopsy. Although rare, duodenal hematoma formation can occur after upper endoscopy and biopsy in otherwise healthy children. A young child presenting with a duodenal hematoma in the absence of a clear mechanism of either previous gastrointestinal procedures or injury to the abdomen should have an extensive evaluation to exclude child abuse. A thorough evaluation for other medical causes, such as a coagulopathy, should be performed simultaneously.
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