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Conservative management of traumatic acute intramural hematoma of duodenal 2nd and 3rd portion: A case report and review of literature
Ann Hepatobiliary Pancreat Surg 2020 Feb;24(1):109-13
Published online February 29, 2020;  https://doi.org/10.14701/ahbps.2020.24.1.109
Copyright © 2020 Korean Association of Hepato-Biliary-Pancreatic Surgery.

Sun Jeong Kim1, Jin Ho Lee1, Su Mi Park2, and Kuk Hwan Kwon1

1Department of Surgery, National Health Insurance Service Ilsan Hospital, 2Department of Radiology, National Health Insurance Service Ilsan Hospital, Goyang, Korea
Received July 11, 2019; Revised July 24, 2019; Accepted July 25, 2019.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
 Abstract
Traumatic intramural duodenal hematoma (IMDH) is a rare disease occurring usually in children. The treatment modality of traumatic IMDH varies according to clinical manifestations. We had a case of a young man who had traumatic IMDH and treated nonoperatively. He had 3 weeks of conservative care and has been discharged, with follow up abdominal CT scan showing complete resolution of the hematoma. In conclusion, patient with traumatic acute intramural hematoma of duodenal 2nd and 3rd portion have excellent clinical outcomes with conservative therapy.
Keywords : Hematoma; Duodenum; Trauma; Conservative management