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Duodenal Trauma
Michael R. Aquino, MD, MHSc
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KEY FACTS

  • Imaging

    • Pathology

      • Clinical Issues

        TERMINOLOGY

        • Abbreviations

          • D[x] = segment of duodenum (e.g., D1 = 1st segment of duodenum)

        IMAGING

        • General Features

          • Radiographic Findings

            • Fluoroscopic Findings

              • CT Findings

                • MR Findings

                  • Ultrasonographic Findings

                    • Imaging Recommendations

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          • Staging, Grading, & Classification

                            • Gross Pathologic & Surgical Features

                              • Microscopic Features

                                CLINICAL ISSUES

                                • Presentation

                                  • Demographics

                                    • Natural History & Prognosis

                                      • Treatment

                                        DIAGNOSTIC CHECKLIST

                                        • Consider

                                          • Image Interpretation Pearls

                                            Selected References

                                            1. Mills A et al: Imaging of bowel wall thickening in the hospitalized patient. Radiol Clin North Am. 58(1):1-17, 2020
                                            2. Shin D et al: Imaging of gastrointestinal tract perforation. Radiol Clin North Am. 58(1):19-44, 2020
                                            3. Coccolini F et al: Duodeno-pancreatic and extrahepatic biliary tree trauma: WSES-AAST guidelines. World J Emerg Surg. 14:56, 2019
                                            4. Niehues SM et al: Intramural duodenal hematoma: clinical course and imaging findings. Acta Radiol Open. 8(4):2058460119836256, 2019
                                            5. Bennett AE et al: Multidetector CT imaging of bowel and mesenteric injury: review of key signs. Semin Ultrasound CT MR. 39(4):363-73, 2018
                                            6. The American Association for the Surgery of Trauma: Injury Scoring Scale. Updated 2018. Accessed October 3, 2021. https://www.aast.org/resources-detail/injury-scoring-scale#duodenum
                                            7. Sugi MD et al: CT findings of acute small-bowel entities. Radiographics. 38(5):1352-69, 2018
                                            8. Zhou H et al: Evolution of intramural duodenal hematomas on magnetic resonance imaging. Pediatr Radiol. 48(11):1593-9, 2018
                                            9. Schooler GR et al: Gastrointestinal tract perforation in the newborn and child: imaging assessment. Semin Ultrasound CT MR. 37(1):54-65, 2016
                                            10. Sierra A et al: Biopsy-induced duodenal hematoma is not an infrequent complication favored by bone marrow transplantation. J Pediatr Gastroenterol Nutr. 63(6):627-32, 2016
                                            11. Melamud K et al: Imaging of pancreatic and duodenal trauma. Radiol Clin North Am. 53(4):757-71, viii, 2015
                                            12. Peterson ML et al: Management of traumatic duodenal hematomas in children. J Surg Res. 199(1): 126-9, 2015
                                            13. Sowrey L et al: Duodenal injuries in the very young: child abuse? J Trauma Acute Care Surg. 74(1):136-41; discussion 141-2, 2013
                                            14. Grasshof C et al: Intramural duodenal haematoma after endoscopic biopsy: case report and review of the literature. Case Rep Gastroenterol. 6(1):5-14, 2012
                                            15. Gutierrez IM et al: Operative blunt duodenal injury in children: a multi-institutional review. J Pediatr Surg. 47(10):1833-6, 2012
                                            16. Linsenmaier U et al: Diagnosis and classification of pancreatic and duodenal injuries in emergency radiology. Radiographics. 28(6):1591-602, 2008
                                            17. Bruny JL et al: Hollow viscous injury in the pediatric patient. Semin Pediatr Surg. 13(2):112-8, 2004
                                            18. Clendenon JN et al: Management of duodenal injuries in children. J Pediatr Surg. 39(6):964-8, 2004
                                            19. Desai KM et al: Blunt duodenal injuries in children. J Trauma. 54(4):640-5; discussion 645-6, 2003
                                            Related Anatomy
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                                            Related Differential Diagnoses
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                                            References
                                            Tables

                                            Tables

                                            KEY FACTS

                                            • Imaging

                                              • Pathology

                                                • Clinical Issues

                                                  TERMINOLOGY

                                                  • Abbreviations

                                                    • D[x] = segment of duodenum (e.g., D1 = 1st segment of duodenum)

                                                  IMAGING

                                                  • General Features

                                                    • Radiographic Findings

                                                      • Fluoroscopic Findings

                                                        • CT Findings

                                                          • MR Findings

                                                            • Ultrasonographic Findings

                                                              • Imaging Recommendations

                                                                DIFFERENTIAL DIAGNOSIS

                                                                  PATHOLOGY

                                                                  • General Features

                                                                    • Staging, Grading, & Classification

                                                                      • Gross Pathologic & Surgical Features

                                                                        • Microscopic Features

                                                                          CLINICAL ISSUES

                                                                          • Presentation

                                                                            • Demographics

                                                                              • Natural History & Prognosis

                                                                                • Treatment

                                                                                  DIAGNOSTIC CHECKLIST

                                                                                  • Consider

                                                                                    • Image Interpretation Pearls

                                                                                      Selected References

                                                                                      1. Mills A et al: Imaging of bowel wall thickening in the hospitalized patient. Radiol Clin North Am. 58(1):1-17, 2020
                                                                                      2. Shin D et al: Imaging of gastrointestinal tract perforation. Radiol Clin North Am. 58(1):19-44, 2020
                                                                                      3. Coccolini F et al: Duodeno-pancreatic and extrahepatic biliary tree trauma: WSES-AAST guidelines. World J Emerg Surg. 14:56, 2019
                                                                                      4. Niehues SM et al: Intramural duodenal hematoma: clinical course and imaging findings. Acta Radiol Open. 8(4):2058460119836256, 2019
                                                                                      5. Bennett AE et al: Multidetector CT imaging of bowel and mesenteric injury: review of key signs. Semin Ultrasound CT MR. 39(4):363-73, 2018
                                                                                      6. The American Association for the Surgery of Trauma: Injury Scoring Scale. Updated 2018. Accessed October 3, 2021. https://www.aast.org/resources-detail/injury-scoring-scale#duodenum
                                                                                      7. Sugi MD et al: CT findings of acute small-bowel entities. Radiographics. 38(5):1352-69, 2018
                                                                                      8. Zhou H et al: Evolution of intramural duodenal hematomas on magnetic resonance imaging. Pediatr Radiol. 48(11):1593-9, 2018
                                                                                      9. Schooler GR et al: Gastrointestinal tract perforation in the newborn and child: imaging assessment. Semin Ultrasound CT MR. 37(1):54-65, 2016
                                                                                      10. Sierra A et al: Biopsy-induced duodenal hematoma is not an infrequent complication favored by bone marrow transplantation. J Pediatr Gastroenterol Nutr. 63(6):627-32, 2016
                                                                                      11. Melamud K et al: Imaging of pancreatic and duodenal trauma. Radiol Clin North Am. 53(4):757-71, viii, 2015
                                                                                      12. Peterson ML et al: Management of traumatic duodenal hematomas in children. J Surg Res. 199(1): 126-9, 2015
                                                                                      13. Sowrey L et al: Duodenal injuries in the very young: child abuse? J Trauma Acute Care Surg. 74(1):136-41; discussion 141-2, 2013
                                                                                      14. Grasshof C et al: Intramural duodenal haematoma after endoscopic biopsy: case report and review of the literature. Case Rep Gastroenterol. 6(1):5-14, 2012
                                                                                      15. Gutierrez IM et al: Operative blunt duodenal injury in children: a multi-institutional review. J Pediatr Surg. 47(10):1833-6, 2012
                                                                                      16. Linsenmaier U et al: Diagnosis and classification of pancreatic and duodenal injuries in emergency radiology. Radiographics. 28(6):1591-602, 2008
                                                                                      17. Bruny JL et al: Hollow viscous injury in the pediatric patient. Semin Pediatr Surg. 13(2):112-8, 2004
                                                                                      18. Clendenon JN et al: Management of duodenal injuries in children. J Pediatr Surg. 39(6):964-8, 2004
                                                                                      19. Desai KM et al: Blunt duodenal injuries in children. J Trauma. 54(4):640-5; discussion 645-6, 2003