This page is dedicated to organizing various examples of standardized exam questions whose answer is a duodenal hematoma. While this may seem a odd practice, it is useful to see multiple examples of how duodenal hematoma will be characterized on standardized exams (namely the boards and the shelf exams). This page is not meant to be used as a traditional question bank (as all of the answers will be the same), however seeing the classic “test” characterization for a disease is quite valuable.
Question # 1
A 13 year old male is brought to the hospital because of colicky abodminla pain and bilious vomiting after meals. He has never had any similar symptoms before, and has no other medical issues. This patient had a bicycle accident 2 days ago where he was stopped suddenly and fell on his handlebar. Right after the accident he experienced abdominal pain, but this gradually resolved several hours later. His vital signs are unremarkable. A physical exam shows tenderness in his epigastric area however it is otherwise normal. A bedside ultrasound does not demonstrate any evidence of free itnraperitoneal fluid. A plain abodminla radiograph shows a dilated stomach with some distal gas. What is the likely diagnosis in this patient?
Explanation: history of abodminla trauma + postprandial abdominal pain/nausea/vomiting + bilious vomiting + distended stomach = duodenal hematoma
Page Updated: 03.11.2017