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C-0218 - Intramural duodenal haematoma: frequency, imaging findings and follow-up
S. Niehues, F. Elsholtz, B. Hamm; Berlin/DE
Type: Scientific Exhibit
Area of Interests: Gastrointestinal tract, Small bowel
Imaging Techniques: CT, MR, Ultrasound
Procedure: Dilation
Special Focus: Acute

Aims and objectives:
Intramural hematomas are commonly observed in vessels in vascular disease.They can also occur anywhere in the gastrointestinal tract affecting the intestinal wall, here clinical signs and symptoms are remarkably different. We analysed the frequency of intramural duodenal haematoma among the patien[...]
Methods and materials:
During the 20-month period, we included a total of 11 patients with intramural duodenal haematoma. Follow-up for all patients was completed in a four years period. Possible trigger mechanisms were evaluated using the patients` clinical records. Haematoma sizes were evaluated. Imaging was performed u[...]
Results:
Eleven cases of intramural duodenal haematoma over a 20-month period is a surprisingly high frequency. Remarkably, the mean patient age was 7.5 years. Imaging in all 11 patients was evaluable and effective. The average disease duration till resolution of haematoma was 13 months (range 1-45 months). [...]
Conclusion:
Intramural duodenal wall haematoma was much more common than expected. Because of the broad range and severity of complications the diagnosis should be considered early if typical pathomechanisms or predisposing conditions exist. There are typical ultrasound, CT and MRI findings, which the radiologi[...]
Personal information:
References:
Costelloe J, Mc Cormack O, Reynolds JV. Dissecting intramural hematoma of the esophagus. Dis Esophagus 2013: 26:346 4. Li ZL, Wang ZJ, Han JG. Spontaneous perforation of an intramural rectal hematoma: Report of a case. World J Gastroenterol 2012: 18:2438-40 5. Shankarnaryanan S, Hardikar W. Unusual[...]

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