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Clinical Notes
July 27, 1964

Intramural Hematoma of Duodenum and Jejunum

JAMA. 1964;189(4):326-327. doi:10.1001/jama.1964.03070040076022

ROENTGENOGRAPHIC DIAGNOSIS of intramural hematoma of the duodenum or jejunum, due either to trauma or to hemorrhagic states, is being made with increasing frequency. Many of the cases reported have not been proved except by followup course and subsequent studies showing a disappearance of the roentgenographic signs pari passu with the improved situation and disappearance of symptoms.1-3

The most skeptical can hardly doubt the validity and significance of the roentgenographic signs when the condition is confirmed by surgery. The following case is being reported inasmuch as it presents the characteristic roentgenographic signs, was diagnosed prior to, and proved by, surgery, as well as by a postoperative followup examination.

Report of a Case  A 20-year-old white male was admitted to the hospital, with the chief complaint of nausea and vomiting for five days. One day before the onset of symptoms, his hand had been injured in an automobile accident. He

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