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[Duodenal hematoma after upper gastrointestinal endoscopy in pediatric graft vs host disease: Report of two cases].

Authors :
Bergero G
Frangi D
Lerendegui L
Busoni V
Lobos PA
Orsi M
Llera J
Source :
Archivos argentinos de pediatria [Arch Argent Pediatr] 2021 Oct; Vol. 119 (5), pp. e513-e517.
Publication Year :
2021

Abstract

Graft versus host disease is a serious complication that occurs following bone marrow transplant with significant morbidity and mortality. The gold standard to diagnose gastrointestinal graft versus host disease is upper and lower gastrointestinal endoscopy with histological validation. The development of intramural duodenal hematoma is a rare complication associated with this procedure. We present two cases of intramural duodenal haematoma after duodenal biopsies in bone marrow transplant patients that presented clinically with severe abdominal pain and intestinal bleeding. In both cases, CT scans confirmed the diagnosis and they were treated conservatively with favorable outcomes. Final diagnosis of gastrointestinal graft versus host disease was based on the colonic samples with normal duodenal histoarchitecture, which could lead to avoiding duodenal samples in future patients in order to prevent this serious complication and thus diminish morbidity.<br />Competing Interests: None<br /> (Sociedad Argentina de Pediatría.)

Details

Language :
Spanish; Castilian
ISSN :
1668-3501
Volume :
119
Issue :
5
Database :
MEDLINE
Journal :
Archivos argentinos de pediatria
Publication Type :
Report
Accession number :
34569753
Full Text :
https://doi.org/10.5546/aap.2021.e513