A CASE OF TRAUMATIC INTRAMURAL HEMATOMA OF THE DUODENUM EFFECTIVELY TREATED WITH ULTRASONICALLY GUIDED ASPIRATION DRAINAGE AND ENDOSCOPIC BALLOON CATHETER DILATATION

被引：23

作者：

AIZAWA, K

TOKUYAMA, H

YONEZAWA, T

DOI, M

MATSUZONO, Y

MATUMOTO, M

URAGAMI, K

NISHIOKA, S

YATAKA, I

机构：

[1] Department of Internal Medicine, Hashimoto Municipal Hospital, Wakayama

[2] Department of Internal Medicine, Wakayama Medical School, Wakayama

来源：

GASTROENTEROLOGIA JAPONICA | 1991年 / 26卷 / 02期

关键词：

CONSERVATIVE TREATMENT; INTRAMURAL HEMATOMA;

D O I：

10.1007/BF02811084

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

A 52-year-old man was admitted on February 15, 1990, with hiccups and vomiting. He had been well until 13 days before admission when he stumbled and fell when intoxicated, striking his abdomen. A diagnosis of intramural hematoma was made with computerized tomography and sonography of the abdomen after admission, revealing a mass that was intimately related to the duodenum. Treatment of the intramural duodenal hematoma is controversial. However, this case illustrates the ideal situation where conservative management could be applied with total parenteral nutrition, percutaneous aspiration drainage, and endoscopic balloon catheter dilatation of the narrowed lumen of the duodenum. The patient's subsequent course supports theconcept of planned conservative management.

引用

页码：218 / 223

页数：6

共 34 条

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