십이지장 벽내 혈종: 보존적 요법의 재조명 = A Case of Traumatic Duodenal Hematoma: An observation of Natural Course of Severe Duodenal Hematoma

다국어 초록 (Multilingual Abstract)

Intramural duodenal hematoma secondary to blunt abdomial trauma is a rare abdominal injury. Until early 1970s operation was preferred management. But after successful non-operative management of duodenal hematoma in 8 out of 9 children by Holgerson and Bis-hop in 1977 it is generally managed nonoperatively in children. But in 1988 Thoms and Ric-ketts reported 3 consecutive cases which they failed to manage nonoperatively and rec-ommeded surgical intervention when 10 days of medical management fails to achieve complete resolution. We experienced a natural course of duodenal obstruction by intramural hematoma and subsequent fibrosis which necessiated duodenojejunostomy 166 days after abdominal trauma in 7 year-old boy. We reviewed our case and agree with Thoms and Ricketts recommendation.