“
TL;DR
A 12-year-old boy developed a rare dissecting duodenal hematoma requiring surgery after a routine esophagogastroduodenoscopy with biopsies for suspected celiac disease.
JPGN Reports · 3 authors, 2 centres
This summary was generated by AI from a single paper. It has not been reviewed by a clinician and is not clinical advice. Verify against the source before acting on it.
A 12-year-old boy developed a rare dissecting duodenal hematoma requiring surgery after a routine esophagogastroduodenoscopy with biopsies for suspected celiac disease.
This case report describes a 12-year-old boy who presented with abdominal pain and vomiting one day after a diagnostic esophagogastroduodenoscopy (EGD) with biopsies for suspected celiac disease. Imaging revealed a dissecting intramural duodenal hematoma causing obstruction and pancreatitis. The patient required urgent surgical evacuation due to the extent of the hematoma, hemodynamic instability, and concern for perforation. He recovered after bowel rest and decompression, and was discharged two weeks later. The report notes that post-EGD bleeding rates are low in pediatrics (0.11–0.3%) and duodenal hematomas are even rarer (0.05%). It discusses possible risk factors like coagulopathy, which was not present in this patient, and the unconfirmed hypothesis that celiac disease itself may increase endoscopic complication risk.