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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. Sierra A et al: Biopsy-induced duodenal hematoma is not an infrequent complication favored by bone marrow transplantation. J Pediatr Gastroenterol Nutr. ePub, 2016
                                            2. Peterson ML et al: Management of traumatic duodenal hematomas in children. J Surg Res. 199(1): 126-9, 2015
                                            3. 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
                                            4. 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
                                            5. Gutierrez IM et al: Operative blunt duodenal injury in children: a multi-institutional review. J Pediatr Surg. 47(10):1833-6, 2012
                                            6. Linsenmaier U et al: Diagnosis and classification of pancreatic and duodenal injuries in emergency radiology. Radiographics. 28(6):1591-602, 2008
                                            7. Bruny JL et al: Hollow viscous injury in the pediatric patient. Semin Pediatr Surg. 13(2):112-8, 2004
                                            8. Clendenon JN et al: Management of duodenal injuries in children. J Pediatr Surg. 39(6):964-8, 2004
                                            9. Desai KM et al: Blunt duodenal injuries in children. J Trauma. 54(4):640-5; discussion 645-6, 2003
                                            10. Strouse PJ et al: CT of bowel and mesenteric trauma in children. Radiographics. 19(5):1237-50, 1999
                                            11. Moore EE et al: Organ injury scaling, II: Pancreas, duodenum, small bowel, colon, and rectum. J Trauma. 30(11):1427-9, 1990
                                            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. Sierra A et al: Biopsy-induced duodenal hematoma is not an infrequent complication favored by bone marrow transplantation. J Pediatr Gastroenterol Nutr. ePub, 2016
                                                                                      2. Peterson ML et al: Management of traumatic duodenal hematomas in children. J Surg Res. 199(1): 126-9, 2015
                                                                                      3. 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
                                                                                      4. 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
                                                                                      5. Gutierrez IM et al: Operative blunt duodenal injury in children: a multi-institutional review. J Pediatr Surg. 47(10):1833-6, 2012
                                                                                      6. Linsenmaier U et al: Diagnosis and classification of pancreatic and duodenal injuries in emergency radiology. Radiographics. 28(6):1591-602, 2008
                                                                                      7. Bruny JL et al: Hollow viscous injury in the pediatric patient. Semin Pediatr Surg. 13(2):112-8, 2004
                                                                                      8. Clendenon JN et al: Management of duodenal injuries in children. J Pediatr Surg. 39(6):964-8, 2004
                                                                                      9. Desai KM et al: Blunt duodenal injuries in children. J Trauma. 54(4):640-5; discussion 645-6, 2003
                                                                                      10. Strouse PJ et al: CT of bowel and mesenteric trauma in children. Radiographics. 19(5):1237-50, 1999
                                                                                      11. Moore EE et al: Organ injury scaling, II: Pancreas, duodenum, small bowel, colon, and rectum. J Trauma. 30(11):1427-9, 1990