RESUMO
A duodenal hematoma secondary to blunt-abdominal trauma is a relatively rare condition and is usually managed conservatively. We report a case of a post-traumatic duodenal hematoma after a road trafficc accident in a 10-year-old boy, who presented with progressive vomiting 3 weeks after the accident. The case was managed using serial esophagogastroduodenoscopy (EGD) with dilatation. Controlled radial expansion (CRE) balloon dilatation was performed 4 times over a period of 11 weeks. The patient recovered uneventfully and remained asymptomatic at the 3-month follow-up after the last endoscopic dilatation. This case highlights the applicability of EGD with CRE balloon dilatation as an alternative to surgical treatment in patients with symptomatic post-traumatic duodenal hematomas.
Assuntos
Dilatação/métodos , Duodenopatias/terapia , Endoscopia do Sistema Digestório/métodos , Hematoma/terapia , Traumatismos Abdominais/complicações , Acidentes de Trânsito , Criança , Duodenopatias/diagnóstico por imagem , Duodenopatias/etiologia , Hematoma/diagnóstico por imagem , Hematoma/etiologia , Humanos , Masculino , Tomografia Computadorizada por Raios X , Resultado do Tratamento , Vômito/etiologia , Ferimentos não Penetrantes/complicaçõesRESUMO
The treatment of brain abscesses in newborn infants is controversial. We report on a 6-week-old infant with multiple brain abscesses caused by Citrobacter koseri that resolved after treatment with combined surgical drainage and intravenous therapy with meropenem and fosfomycin.