A 4-year-old boy presented with a duodenal hematoma and was admitted for co
nservative management including nasogastric tube drainage and parenteral nu
trition, Within 2 days, the child became fungemic and went on to require ur
gent laparotomy. This previously undescribed life-threatening complication
of duodenal hematoma is discussed in the context of standard treatment of t
his injury. Copyright (C) 2000 by W.B. Saunders Company.