Pediatric duodenal stenosis caused by posttraumatic mesenteric hematoma managed with a double elementary diet tube

A 6-year-old male child was admitted to the hospital because of abdominal trauma and acute stomach pain. Computed tomography scan revealed a jejunal mesenteric hematoma and an enhanced intestinal wall compressed by the hematoma. The patient presented with vomiting 10 days after the injury. He underw...

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Main Authors: Hirotaka Shibuya, Keita Sato, Natsuki Hashiba, Yosuke Yamauchi, Yoshihisa Tamura, Shinya Sugimoto, Koji Takahashi
Format: Article
Language:English
Published: Elsevier 2024-08-01
Series:Trauma Case Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S2352644024000839
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author Hirotaka Shibuya
Keita Sato
Natsuki Hashiba
Yosuke Yamauchi
Yoshihisa Tamura
Shinya Sugimoto
Koji Takahashi
author_facet Hirotaka Shibuya
Keita Sato
Natsuki Hashiba
Yosuke Yamauchi
Yoshihisa Tamura
Shinya Sugimoto
Koji Takahashi
author_sort Hirotaka Shibuya
collection DOAJ
description A 6-year-old male child was admitted to the hospital because of abdominal trauma and acute stomach pain. Computed tomography scan revealed a jejunal mesenteric hematoma and an enhanced intestinal wall compressed by the hematoma. The patient presented with vomiting 10 days after the injury. He underwent upper endoscopy under tracheal intubation and general anesthesia 12 days after the injury. A double elementary diet tube was inserted endoscopically with the tip placed in the jejunum beyond the stenosis and the decompressed portion of the stomach. Stenosis was improving, and the patient was discharged on the 27th day after the injury. In conclusion, a double elementary diet tube can be effective for treating posttraumatic duodenal stenosis in pediatric patients.
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issn 2352-6440
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publishDate 2024-08-01
publisher Elsevier
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series Trauma Case Reports
spelling doaj-art-3a09cb33e9244dac9f72633d57bda2c32025-08-20T03:20:33ZengElsevierTrauma Case Reports2352-64402024-08-015210106010.1016/j.tcr.2024.101060Pediatric duodenal stenosis caused by posttraumatic mesenteric hematoma managed with a double elementary diet tubeHirotaka Shibuya0Keita Sato1Natsuki Hashiba2Yosuke Yamauchi3Yoshihisa Tamura4Shinya Sugimoto5Koji Takahashi6Department of Surgery, Ise Red Cross Hospital, Ise, Mie, Japan; Corresponding author at: Japanese Red Cross Ise Hospital, Department of Surgery, 1-471-2 Funae, Ise, Mie 516-8512, Japan.Department of Surgery, Ise Red Cross Hospital, Ise, Mie, JapanDepartment of Surgery, Ise Red Cross Hospital, Ise, Mie, JapanDepartment of Surgery, Ise Red Cross Hospital, Ise, Mie, JapanDepartment of Surgery, Ise Red Cross Hospital, Ise, Mie, JapanDepartment of Gastroenterology, Ise Red Cross Hospital, Ise, Mie, Japan; Department of Gastroenterology and Hepatology, Mie University Hospital, Tsu, Mie, JapanDepartment of Surgery, Ise Red Cross Hospital, Ise, Mie, Japan; Department of Hapatobiliary Pancreatic and Transplantation Surgery, Mie University Hospital, Tsu, Mie, JapanA 6-year-old male child was admitted to the hospital because of abdominal trauma and acute stomach pain. Computed tomography scan revealed a jejunal mesenteric hematoma and an enhanced intestinal wall compressed by the hematoma. The patient presented with vomiting 10 days after the injury. He underwent upper endoscopy under tracheal intubation and general anesthesia 12 days after the injury. A double elementary diet tube was inserted endoscopically with the tip placed in the jejunum beyond the stenosis and the decompressed portion of the stomach. Stenosis was improving, and the patient was discharged on the 27th day after the injury. In conclusion, a double elementary diet tube can be effective for treating posttraumatic duodenal stenosis in pediatric patients.http://www.sciencedirect.com/science/article/pii/S2352644024000839Duodenal traumaMesenteric hematomaPediatric traumaDouble elementary diet tubeDuodenal stenosis
spellingShingle Hirotaka Shibuya
Keita Sato
Natsuki Hashiba
Yosuke Yamauchi
Yoshihisa Tamura
Shinya Sugimoto
Koji Takahashi
Pediatric duodenal stenosis caused by posttraumatic mesenteric hematoma managed with a double elementary diet tube
Trauma Case Reports
Duodenal trauma
Mesenteric hematoma
Pediatric trauma
Double elementary diet tube
Duodenal stenosis
title Pediatric duodenal stenosis caused by posttraumatic mesenteric hematoma managed with a double elementary diet tube
title_full Pediatric duodenal stenosis caused by posttraumatic mesenteric hematoma managed with a double elementary diet tube
title_fullStr Pediatric duodenal stenosis caused by posttraumatic mesenteric hematoma managed with a double elementary diet tube
title_full_unstemmed Pediatric duodenal stenosis caused by posttraumatic mesenteric hematoma managed with a double elementary diet tube
title_short Pediatric duodenal stenosis caused by posttraumatic mesenteric hematoma managed with a double elementary diet tube
title_sort pediatric duodenal stenosis caused by posttraumatic mesenteric hematoma managed with a double elementary diet tube
topic Duodenal trauma
Mesenteric hematoma
Pediatric trauma
Double elementary diet tube
Duodenal stenosis
url http://www.sciencedirect.com/science/article/pii/S2352644024000839
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