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Giant Splenic Hematoma can be a Hidden Condition

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EN
An otherwise healthy 28-year old male presented to his general practitioner with dyspnoea in the morning and abdominal discomfort through months. Four months earlier, he had experienced a blunt trauma to the left side of his abdomen. Abdominal ultrasonography revealed a splenic hematoma and the patient was admitted to hospital. Vital signs were normal, and blood samples revealed a marginal anaemia and elevated C-reactive protein, but were otherwise normal. Computed tomography showed an 18 centimetre wide splenic hematoma. The patient was referred to another hospital for conservative treatment in the outpatient clinic.
EN
A case of post-traumatic intramural haematoma of the duodenum is presented in this report. The patient was admitted to the unit after multiorgan injury. Preliminary examination (X-ray, USG - diagnosis, paracentesis of the abdominal cavity) showed abdominal hemorrhage. The patient was urgently operated on (splenectomy and partial small bowel resection). The post-surgical period was complicated by intramural duodenal haematoma, which blocked the passage of chyme to distal portions of the alimentary tract. The patient was treated conservatively. On postoperative day 9, the ailment receded. The patient was discharged from the hospital in good general condition.
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