Intraduodenal hematoma complicating intestinal biopsy - Case reports and review of the literature

We report two cases of postbiopsy duodenal hematoma and review 14 additiona l cases. Duodenal hematoma predominantly occurs in children and presents wi th abdominal pain, vomiting, and pancreatitis, Upper gastrointestinal serie s, abdominal ultrasound, and CT scan are useful in visualizing the hematoma . No comparative studies of the usefulness of these techniques are availabl e, but a CT is indicated if perforation is suspected. The treatment is cons ervative if no perforation is detected, and resolution of symptoms generall y occurs within 2 wk, (C) 1998 by Am. Coll. of Gastroenterology.