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  • Title: Endoscopic dilatation as a new technique in managing pediatric duodenal hematoma.
    Author: Alharbi FM, Abo Amer ZA, Hamamesh KH, Algubaisi SN.
    Journal: Saudi Med J; 2020 Aug; 41(8):874-877. PubMed ID: 32789429.
    Abstract:
    A duodenal hematoma secondary to blunt-abdominal trauma is a relatively rare condition and is usually managed conservatively. We report a case of a post-traumatic duodenal hematoma after a road trafficc accident in a 10-year-old boy, who presented with progressive vomiting 3 weeks after the accident. The case was managed using serial esophagogastroduodenoscopy (EGD) with dilatation. Controlled radial expansion (CRE) balloon dilatation was performed 4 times over a period of 11 weeks. The patient recovered uneventfully and remained asymptomatic at the 3-month follow-up after the last endoscopic dilatation. This case highlights the applicability of EGD with CRE balloon dilatation as an alternative to surgical treatment in patients with symptomatic post-traumatic duodenal hematomas.
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