INTRAMURAL HEMATOMA OF THE DUODENUM

Intramural hematoma of duodenum is seldom reported in the Japanese literature. This disease occurs in children or following abdominal trauma in the majority of cases. A 18-year-old man with traumatic duodenal hematoma underwent successful conservative treatment for 59 days. In this report, we review the diagnosis and therapy of the 47 cases previously reported in Japan. In addition to upper gastrointestinal contrast roentgenogram, CT and ultrasonography were useful in the diagnosis and follow-up of this disease. As a result, conservative treatment is recently on the increase.