Successful Conservative Management of a Traumatic Intramural Duodenal Hematoma Using a Double Elementary Diet Tube
Abstract
A 49-year-old man presented to our hospital with anorexia and vomiting. Computed tomography revealed duodenal obstruction, whereas non-contrast magnetic resonance imaging (MRI) revealed a subacute intramural hematoma. Combined with the patient's history of abdominal trauma, this led to the diagnosis of traumatic intramural duodenal hematoma. A double elementary diet (W-ED) tube was endoscopically placed for gastric decompression and enteral nutrition. The patient was successfully managed conservatively, without surgery or central venous nutrition. Oral intake resumed after 1 month, and complete resolution was confirmed at 3 months. This rare adult case of traumatic intramural duodenal hematoma highlights the diagnostic utility of MRI and clinical potential of the W-ED tube.
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BibTeX
@article{hanatani2026successful,
title = {{Successful Conservative Management of a Traumatic Intramural Duodenal Hematoma Using a Double Elementary Diet Tube}},
author = {Jun-ichi Hanatani and Norihisa Nishimura and Natsumi Shibasaki and Kazuki Shioya and Yusuke Komeda and Masayoshi Takami and Yukihisa Fujinaga and Koh Kitagawa and Shinya Sato and Kosuke Kaji and Tadashi Namisaki and Akira Mitoro and Hitoshi Yoshiji},
journal = {Internal Medicine},
year = {2026},
month = sep,
doi = {10.2169/internalmedicine.6697-25},
url = {https://www.jstage.jst.go.jp/article/internalmedicine/65/17/65_6697-25/_article},
note = {CC BY-NC-ND},
}
RIS
TY - JOUR
TI - Successful Conservative Management of a Traumatic Intramural Duodenal Hematoma Using a Double Elementary Diet Tube
AU - Jun-ichi Hanatani
AU - Norihisa Nishimura
AU - Natsumi Shibasaki
AU - Kazuki Shioya
AU - Yusuke Komeda
AU - Masayoshi Takami
AU - Yukihisa Fujinaga
AU - Koh Kitagawa
AU - Shinya Sato
AU - Kosuke Kaji
AU - Tadashi Namisaki
AU - Akira Mitoro
AU - Hitoshi Yoshiji
PY - 2026
DA - 2026/09/01
JO - Internal Medicine
DO - 10.2169/internalmedicine.6697-25
UR - https://www.jstage.jst.go.jp/article/internalmedicine/65/17/65_6697-25/_article
AB - A 49-year-old man presented to our hospital with anorexia and vomiting. Computed tomography revealed duodenal obstruction, whereas non-contrast magnetic resonance imaging (MRI) revealed a subacute intramural hematoma. Combined with the patient's history of abdominal trauma, this led to the diagnosis of traumatic intramural duodenal hematoma. A double elementary diet (W-ED) tube was endoscopically placed for gastric decompression and enteral nutrition. The patient was successfully managed conservatively, without surgery or central venous nutrition. Oral intake resumed after 1 month, and complete resolution was confirmed at 3 months. This rare adult case of traumatic intramural duodenal hematoma highlights the diagnostic utility of MRI and clinical potential of the W-ED tube.
SN - 1349-7235
SN - 0918-2918
ER -