BRIEF RESEARCH REPORT article
Front. Radiol.
Sec. Emergency Radiology
This article is part of the Research TopicEmergency Radiology: Between Unsolved Problems and New ChallengesView all 3 articles
Clinical and imaging value of traumatic duodenal intramural hematoma in children
Provisionally accepted
- The Women's and Children's Hospital affiliated to Ningbo University, Zhejiang, China
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Abstract Aim: To explore the imaging, diagnosis, and treatment of traumatic duodenal intramural hematoma in children, improve diagnostic accuracy, and shorten hospitalization time. Methods: A retrospective analysis of five children with traumatic duodenal intramural hematoma. Results: One child had a descending duodenal wall hematoma, two had horizontal wall hematomas, one had an ascending wall hematoma, and one case involving both the descending and ascending parts. All five children were initially diagnosed by computed tomography (CT). The typical images showed "ice melting sign" and "fissure sign," with no lesion enhancement. Magnetic resonance imaging (MRI) in two children on follow-up showed spindle-shaped or quasi-circular intestinal walls protruding towards the intestinal lumen, local intestinal lumen stenosis, high signal intensity on T1W1 and uneven high signal intensity on T2W1, with no enhancement of the lesion. All five patients underwent multiple dynamic follow-up examinations using ultrasound, which clearly displayed the structure of the intestinal wall, absorption of hematoma, and the degree of intestinal obstruction. Conclusion: Conservative treatment, such as gastrointestinal decompression and intravenous nutrition, for pediatric duodenal wall
Keywords: Children, conservative treatment, Duodenal hematoma, Intestinal Obstruction, Ultrasonography
Received: 22 Sep 2025; Accepted: 09 Dec 2025.
Copyright: © 2025 Weng, Zhou, Qin and Wen. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Xiaoyan Weng
Gang Wen
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