Duodenal Hematoma

Etiology: trauma, often a handle-bar injury
Imaging: intramural hematoma causes luminal narrowing
Clinical: if missed initially presents with vomiting with feeding

Cases of Duodenal Hematoma

CT of duodenal hematoma — Contiguous slices from an axial CT with IV and oral contrast of the abdomen shows medial to the ascending colon the contrast-filled lumen of the duodenum narrowing to a point as it nears the midline (above) and then being narrowed as it crosses anterior to the spine (below).

Upper GI of duodenal hematoma in child abuse — AP image from an upper GI exam shows diffuse persistent narrowing of the lumen of the second and third portions of the duodenum.