June 1968

Traumatic Intramural Hematoma of the Duodenum

Author Affiliations

From the departments of surgery (Drs. Ghosh and McKenna) and radiology (Dr. Walker), Lutheran Hospital, Cleveland. Doctor Ghosh is now with the Department of Surgery, Huron Road Hospital, Cleveland. Doctor Walker is now with the Department of Radiology, Medical College of Virginia, Richmond.

Arch Surg. 1968;96(6):959-962. doi:10.1001/archsurg.1968.01330240105025

INTRAMURAL duodenal hematoma with intestinal obstruction, following blunt trauma to the abdomen, is an uncommon clinical entity. McLachlan,1 in 1838, reported what appears to be the first such case in the English literature. In 1966, Devroede and his associates2 reviewed the literature and found that of a total of 97 documented cases, 83 had appeared since 1949. To these they added three case reports of their own.

The following report is of a case of subserosal hematoma of the duodenum which caused partial obstruction of the second and third portions of the duodenum and intussusception in the proximal jejunum.

Report of a Case  A 3-year-old boy was admitted, via the Emergency Room, to Lutheran Hospital, Cleveland, on the evening of Aug 7, 1966, with symptoms of abdominal pain and vomiting. His mother stated that two days before admission he had sustained trauma to the upper abdomen from a

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