In the August 2008 issue of Archives, Weil and colleagues1 describe an interesting case of a man with duodenal hematoma. The authors conclude that the patient had no apparent risk factors; I disagree. The authors do not include Glanzmann thrombasthenia among the different possible diagnoses. While duodenal hematoma from such platelet-aggregation defect is reported to manifest in childhood,2,3 the possibility that the patient has Glanzmann thrombasthenia cannot be ruled out from the initial presentation.1,4 Bleeding time must be performed to search for this detrimental disease.
Kittisupamongkol W. Duodenal Hematoma in Thrombasthenia. Arch Surg. 2009;144(1):93-94. doi:10.1001/archsurg.2008.514