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Intramural Hematoma of the Duodenum: Report of a Case with an Unusual Complication

Intramural Hematoma of the Duodenum: Report of a Case with an Unusual Complication Abstract Acute obstruction of the duodenum in the second and third parts is infrequent. The commonest causes of such an obstruction are congenital defects of the duodenum and pancreas, anomalies of rotation of the bowel, mesenteric artery syndrome, ulcers, neoplasms of the ampulla of Vater and duodenum, gallstones and foreign bodies, and invasive tumors of surrounding organs. Duodenal obstruction due to intramural hematoma was practically unknown until rather recently. The first report of a case of duodenal obstruction due to intramural hematoma was made by McLauchlan in 1838.8 In 1948 Liverud described the x-ray findings of intramural hematoma, and, although in his case the hematoma was in the first part of the jejunum, the x-ray appearance was almost identical with that of intramural hematoma of the duodenum.6 Felson and Levin, in 1954, reported four cases of intramural duodenal hematoma and described in detail the x-ray appearance produced by barium References 1. Dey, D. L.: Acute Duodenal Obstruction Due to an Intramural Hematoma , M. J. Australia 1:708, 1952. 2. Felson, B., and Levin, E. J.: Intramural Hematoma of the Duodenum , Radiology 63:823, 1954. 3. Garfinkel, B.; Waleson, M., and Furst, N. J.: Hematoma of the Duodenum: Report of a Surgically Proved Case , Am. J. Surg. 95:484, 1958.Crossref 4. Jones, G. E., and Settle, J. W., Jr.: Obstructing Lesion of the Colon Due to Non-Penetrating Trauma of the Abdomen , Northwest Med. 51:317, 1952. 5. Kratzer, G. L., and Dixon, C. F.: Traumatic Submucosal Hematoma of the Mid-Portion of the Ascending Colon: Report of a Case , Proc. Staff Meet. Mayo Clin. 26:18, 1951. 6. Liverud, K.: Hematoma of the Jejunum with Subileus , Ada radiol. 30:163, 1948. 7. McClelland, J. R.; Thistlethwaite, R., and Gerwig W. H., Jr.: Obstruction of the Distal Duodenum Due to Intramural Hemorrhage , Am. Surgeon 24:367, 1958. 8. McLauchlan, J.: False Aneurysmal Tumour Occupying Nearly the Whole of the Duodenum , Lancet 2:203, 1838. 9. Magladry, G. W., Jr., and Mathewson, C., Jr.: Duodenal Obstruction Due to Trauma , Stanford M. Bull. 12:205, 1954. 10. Moody, E. E.: Acute Jejunal Obstruction Secondary to Traumatic Intramural Hematoma , Pediatrics 19:863, 1957. 11. Oppenheimer, G. D.: Acute Obstruction of the Duodenum Due to Submucous Hematoma , Ann. Surg. 98:192, 1933.Crossref 12. Robarts, F. H.: Traumatic Intramural Hematoma of the Proximal Jejunal Loop , Arch. Dis. Childhood 32:484, 1957.Crossref 13. Snider, H. R.: Acute Duodenal Obstruction Secondary to Intramural Hematoma , Surgery 39:860, 1956. 14. Spencer, R.; Bateman, J. D., and Horn, P. L.: Intramural Hematoma of the Intestine, a Rare Cause of Intestinal Obstruction , Surgery 41:794, 1957. 15. Swaiman, K. F.; Root, J. F., and Raile, R. B.: The Coil-Spring Sign and Intramural Hematoma of the Proximal Small Intestine , A. M. A. J. Dis. Child. 95:413, 1958. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives Surgery American Medical Association

Intramural Hematoma of the Duodenum: Report of a Case with an Unusual Complication

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Publisher
American Medical Association
Copyright
Copyright © 1959 American Medical Association. All Rights Reserved.
ISSN
0096-6908
DOI
10.1001/archsurg.1959.04320040056016
Publisher site
See Article on Publisher Site

Abstract

Abstract Acute obstruction of the duodenum in the second and third parts is infrequent. The commonest causes of such an obstruction are congenital defects of the duodenum and pancreas, anomalies of rotation of the bowel, mesenteric artery syndrome, ulcers, neoplasms of the ampulla of Vater and duodenum, gallstones and foreign bodies, and invasive tumors of surrounding organs. Duodenal obstruction due to intramural hematoma was practically unknown until rather recently. The first report of a case of duodenal obstruction due to intramural hematoma was made by McLauchlan in 1838.8 In 1948 Liverud described the x-ray findings of intramural hematoma, and, although in his case the hematoma was in the first part of the jejunum, the x-ray appearance was almost identical with that of intramural hematoma of the duodenum.6 Felson and Levin, in 1954, reported four cases of intramural duodenal hematoma and described in detail the x-ray appearance produced by barium References 1. Dey, D. L.: Acute Duodenal Obstruction Due to an Intramural Hematoma , M. J. Australia 1:708, 1952. 2. Felson, B., and Levin, E. J.: Intramural Hematoma of the Duodenum , Radiology 63:823, 1954. 3. Garfinkel, B.; Waleson, M., and Furst, N. J.: Hematoma of the Duodenum: Report of a Surgically Proved Case , Am. J. Surg. 95:484, 1958.Crossref 4. Jones, G. E., and Settle, J. W., Jr.: Obstructing Lesion of the Colon Due to Non-Penetrating Trauma of the Abdomen , Northwest Med. 51:317, 1952. 5. Kratzer, G. L., and Dixon, C. F.: Traumatic Submucosal Hematoma of the Mid-Portion of the Ascending Colon: Report of a Case , Proc. Staff Meet. Mayo Clin. 26:18, 1951. 6. Liverud, K.: Hematoma of the Jejunum with Subileus , Ada radiol. 30:163, 1948. 7. McClelland, J. R.; Thistlethwaite, R., and Gerwig W. H., Jr.: Obstruction of the Distal Duodenum Due to Intramural Hemorrhage , Am. Surgeon 24:367, 1958. 8. McLauchlan, J.: False Aneurysmal Tumour Occupying Nearly the Whole of the Duodenum , Lancet 2:203, 1838. 9. Magladry, G. W., Jr., and Mathewson, C., Jr.: Duodenal Obstruction Due to Trauma , Stanford M. Bull. 12:205, 1954. 10. Moody, E. E.: Acute Jejunal Obstruction Secondary to Traumatic Intramural Hematoma , Pediatrics 19:863, 1957. 11. Oppenheimer, G. D.: Acute Obstruction of the Duodenum Due to Submucous Hematoma , Ann. Surg. 98:192, 1933.Crossref 12. Robarts, F. H.: Traumatic Intramural Hematoma of the Proximal Jejunal Loop , Arch. Dis. Childhood 32:484, 1957.Crossref 13. Snider, H. R.: Acute Duodenal Obstruction Secondary to Intramural Hematoma , Surgery 39:860, 1956. 14. Spencer, R.; Bateman, J. D., and Horn, P. L.: Intramural Hematoma of the Intestine, a Rare Cause of Intestinal Obstruction , Surgery 41:794, 1957. 15. Swaiman, K. F.; Root, J. F., and Raile, R. B.: The Coil-Spring Sign and Intramural Hematoma of the Proximal Small Intestine , A. M. A. J. Dis. Child. 95:413, 1958.

Journal

A.M.A. Archives SurgeryAmerican Medical Association

Published: Apr 1, 1959

References