Duodenal and retroperitoneal hematoma after upper gastrointestinal endoscopy: First presentation of a child with Hemophilia B

• Main Authors: M. Osman, C. Mantor, J. O'Connor
• Format: Article
• Language: English
• Published: Elsevier 2014-09-01
• Series: Journal of Pediatric Surgery Case Reports
• Subjects: Hemophilia; Duodenum; Hematoma
• Online Access: http://www.sciencedirect.com/science/article/pii/S2213576614001195

Duodenal hematoma is an uncommon complication after upper gastrointestinal endoscopy. Most reported cases resolve with conservative management for 3–4 weeks. The authors report a case of a 7 year-old child who developed duodenal and retroperitoneal hematomas, as well as intra-peritoneal hemorrhage after a diagnostic upper gastrointestinal endoscopy. Surprisingly, this was the patient's first presentation of his later-diagnosed Hemophilia B. This is the first Case report of duodenal hematoma after upper endoscopy as the only first presentation of a coagulation disorder. The case report also describes successful management of such complication.