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.
Duodenal Biopsy Gone Bad: Hematoma, Obstruction, Hemoperitoneum, and Everything Else You Don't Want / Zorzetti, Noemi; Lauro, Augusto; Baccaro, Cinzia; Ponticelli, Giuseppe; Ascenzi, Pasquale; Cennamo, Vincenzo; Navarra, Giuseppe Giovanni. - In: DIGESTIVE DISEASES AND SCIENCES. - ISSN 0163-2116. - (2026). [10.1007/s10620-025-09645-0]
Duodenal Biopsy Gone Bad: Hematoma, Obstruction, Hemoperitoneum, and Everything Else You Don't Want
Zorzetti, Noemi;Lauro, AugustoSecondo
Writing – Review & Editing
;
2026
Abstract
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.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
