Künt abdominal travmaya bağlı gelişen post-travmatik duodenal intramural hematom: Olgu sunumu

Duodenal İntramural hematom (DİH); künt abdominal travma sonrası sağlıklı yetişkinlerde oldukça nadir gözlenen, kolaylıkla gözden kaçabilen bir komplikasyondur ve genellikle konservatif yaklaşımlarla tedavi edilmektedir. Bu posttravmatik komplikasyon, kanama bozukluğu olan bireylerde minör travma sonrasında bile gelişebilir. Duodenal intramural hematomun erken ve doğru bir şekilde tanısını konmasında ilk ve önemli basamak bu komplikasyondan şüphelenmektir. Bu olgu sunumunda, künt abdominal travma sonrası 6. günde gastrointestinal obstrüksiyon kliniği ile acil servise başvuran ve duodenal intramural hematom tanısı konulan 20 yaşındaki bir erkek olgu bildirilmiştir. Hasta konservatif yöntemlerle başarılı bir şekilde tedavi edilmiş ve sağlıklı bir şekilde 14 gün sonra hastaneden taburcu edilmiştir.

Posttravmatik Duodenal Intramural Hematom

Intramural duodenal haematoma (IDH) is a very rare seen complication of healthy adults after blunt abdominal trauma which can be easily overlooked and usually treated with conservative approaches. Intramural duodenal haematoma's are most often treated non-operatively. This post-traumatic complication may occur in cases with bleeding disorders even after minor traumas. The first and most important step in the diagnosis of intramural duodenal haematoma is suspicion of this complication. In this case report, a 20-year-old male subject who was admitted to emergency service with symptoms of gastrointestinal obstruction on 6th day after blunt abdominal trauma and diagnosed as intramural duodenal haematoma. The patient was treated successfully with conservative methods and discharged 14 days later in healthy condition.

Kaynakça

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