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Introduction <p>We report a case of a 25-year-old man that was admitted to emergency department for mild abdominal pain and vomiting episodes. The first imaging, with abdominal ultrasound, showed a &gt; 10&#xa0;cm space-occupying lesion (SOL) in epigastrium. The CT-scan diagnosed an intramural duodenal hematoma.</p> Areas Covered <p>Since massive intramural duodenal hematoma (m-IDH) is a rare entity due to trauma, spontaneous causes, post-procedural complications, or underlying medical conditions, therapy can vary. In our case report, conservative treatment was conducted with success.</p> Expert Commentary <p>m-IDH is an infrequent clinical and radiological finding and surgery should be performed as less as possible.</p>

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Duodenal Biopsy Gone Bad: Hematoma, Obstruction, Hemoperitoneum, and Everything Else You Don’t Want

  • 期刊论文

  • 发表日期：

    2026年1月4日

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  • Noemi Zorzetti,
  • Augusto Lauro,
  • Cinzia Baccaro,
  • Giuseppe Ponticelli,
  • Pasquale Ascenzi,
  • Vincenzo Cennamo,
  • Giuseppe Giovanni Navarra

摘要

Introduction

We report a case of a 25-year-old man that was admitted to emergency department for mild abdominal pain and vomiting episodes. The first imaging, with abdominal ultrasound, showed a > 10 cm space-occupying lesion (SOL) in epigastrium. The CT-scan diagnosed an intramural duodenal hematoma.

Areas Covered

Since massive intramural duodenal hematoma (m-IDH) is a rare entity due to trauma, spontaneous causes, post-procedural complications, or underlying medical conditions, therapy can vary. In our case report, conservative treatment was conducted with success.

Expert Commentary

m-IDH is an infrequent clinical and radiological finding and surgery should be performed as less as possible.