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

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.