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Duodenal Injuries, Duodenal Perforation, Duodenal Hematoma

Duodenal Injuries, Duodenal Perforation, Duodenal Hematoma

*Bilious emesis after blunt trauma in a pediatric patient should make you suspicious for a duodenal hematoma. You can make the diagnosis with an upper GI contrast study or a CT scan. If there is no contrast leak, the management is NPO and TPN for up to 3 weeks. If there is a contrast leak, you need to operate. The majority of cases resolve with conservative management.”

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ABSITE KILLER Q&A

Duodenal hematoma case with images on mypacs.net

Duodenal hematoma CT scan on Emedicine

Duodenal hematoma perforation

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