Over a 15-year period, 967 children presenting to Red Cross War Memori
al Children's Hospital with blunt abdominal trauma included nine cases
in whom traumatic intramural duodenal haematomas were diagnosed on cl
inical and radiological grounds. Motor vehicle collisions were the com
monest cause of injury. Review of these nine cases and their managemen
t confirms the efficacy of non-operative treatment and that laparotomy
should be reserved for only those children with additional intra-abdo
minal injuries, or where the diagnosis remains in doubt,