Nonoperative Care Resolves Pediatric Duodenal Obstruction - Takeaways - MDSpire

Nonoperative Care Resolves Pediatric Duodenal Obstruction

Monitoring and nutritional support resolved obstruction from retroperitoneal hematoma following surgical repair of gastric perforation

  • By

  • Andrea Surnit

  • April 3, 2026

  • 3 min

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  • 1

    Conservative management resolved duodenal obstruction in a pediatric patient following a retroperitoneal hematoma from seat belt-related trauma.

  • 2

    A 1-cm gastric perforation was surgically repaired before initiating nonoperative management for the hematoma.

  • 3

    The patient achieved hemodynamic stability by postoperative day 5 and resumed oral intake by day 19.

  • 4

    Total parenteral nutrition was used during nonoperative management, with careful monitoring of clinical and imaging findings.

  • 5

    This case suggests nonoperative management can be effective for pediatric duodenal obstruction, contrasting with typical surgical approaches.

Original Source(s)

Nonoperative Care Resolves Pediatric Duodenal Obstruction

  • by Andrea Surnit

  • April 3, 2026

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