Child Abuse Research Today is a free monthly online journal that collates and summarizes the latest research about Child Abuse, including details on family violence, examinations, long-term effects, psychiatrics disorders.

Duodenal hematoma after upper endoscopy and biopsy in a 4-year-old girl.

Bechtel K, Moss RL, Leventhal JM, Spiro D, Abo A

Yale University School of Medicine, New Haven, CT, USA. Kirsten.Bechtel@yale.edu

We describe a 4-year-old girl who developed a duodenal hematoma after upper endoscopy and biopsy. Although rare, duodenal hematoma formation can occur after upper endoscopy and biopsy in otherwise healthy children. A young child presenting with a duodenal hematoma in the absence of a clear mechanism of either previous gastrointestinal procedures or injury to the abdomen should have an extensive evaluation to exclude child abuse. A thorough evaluation for other medical causes, such as a coagulopathy, should be performed simultaneously.

Published 19 September 2006 in Pediatr Emerg Care, 22(9): 653-4.
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