INTRAMURAL DUODENAL HEMATOMA FOLLOWING BL UNT ABDOMINAL-TRAUMA IN CHILDREN - CASE-REPORT

Gastrointestinal injuries after blunt abdominal trauma in childhood ar e seldom. In 30% of the patients, the site of injury is the duodenum. In 60% associated injuries including other abdominal or extraabdominal lesions are found. Most frequently duodenal damage consists in pariet al haematoma, seldom in duodenal laceration. Duodenal haematoma can be resolved non-operatively in 50%. Operation is recommended for childre n in whom there is no evidence of partial resolution of the obstructio n after 10-14 days or in cases with development of a parietal lacerati on with peritonitis and/or retroperitonitis. For diagnostic computed t omography is the examination of choice.