{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T14:51:13Z","timestamp":1774968673493,"version":"3.50.1"},"reference-count":16,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2024,9,19]],"date-time":"2024-09-19T00:00:00Z","timestamp":1726704000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Paediatric traumatic duodenal hematoma is a rare type of blunt abdominal injury for which treatment strategies are controversial. This study aimed to evaluate the application value of nonoperative management of paediatric duodenal hematoma caused by trauma.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective analysis was conducted on patients with duodenal hematoma with a confirmed history of abdominal trauma admitted to our hospital between January 2010 and December 2022. General patient information, including age, sex, cause of injury, clinical manifestations, and treatment outcomes, was recorded.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 11 cases were included in this study, with 6 males and 5 females. School\u2010age children (\u22656\u2009years) accounted for 72.7% (8\/11) of the cases. Bicycle handlebar injuries accounted for 63.6% (7\/11) of cases. Among these cases, 5 (45.5%) were classified as American Association for the Surgery of Trauma grade I, while the remaining were classified as grade II. The median history time was 1\u2009day (range: 2\u2009h\u201312\u2009days). All patients were successfully treated using non\u2010operative methods. The median time to oral feeding after injury was 17\u2009days (range: 9\u201332\u2009days). Oral feeding was initiated within 2\u2009weeks in 2 patients (18.2%), within 3\u2009weeks in 6 patients (54.5%), and within 4\u2009weeks in 10 patients (90.9%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Paediatric traumatic duodenal hematoma is more common in school\u2010aged children, mainly due to bicycle handlebar injuries. Nonoperative treatment is proven to be safe and effective, with duodenal obstruction symptoms typically resolving within 4\u2009weeks.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.19224","type":"journal-article","created":{"date-parts":[[2024,9,19]],"date-time":"2024-09-19T13:25:37Z","timestamp":1726752337000},"page":"1990-1994","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["A 12\u2010year retrospective analysis of non\u2010operative management for paediatric duodenal hematomas caused by trauma at a single center"],"prefix":"10.1111","volume":"94","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-7537-7551","authenticated-orcid":false,"given":"Qiulong","family":"Shen","sequence":"first","affiliation":[{"name":"Department of Emergency Surgery Beijing Children's Hospital, Capital Medical University, National Center for Children's Health  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yi","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Emergency Surgery Beijing Children's Hospital, Capital Medical University, National Center for Children's Health  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dayong","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Emergency Surgery Beijing Children's Hospital, Capital Medical University, National Center for Children's Health  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Li","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Emergency Surgery Beijing Children's Hospital, Capital Medical University, National Center for Children's Health  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shuanling","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Emergency Surgery Beijing Children's Hospital, Capital Medical University, National Center for Children's Health  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Long","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Emergency Surgery Beijing Children's Hospital, Capital Medical University, National Center for Children's Health  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-4530-4368","authenticated-orcid":false,"given":"Tingting","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Emergency Surgery Beijing Children's Hospital, Capital Medical University, National Center for Children's Health  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,9,19]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2004.02.032"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13017-019-0278-6"},{"key":"e_1_2_9_4_1","first-page":"49","article-title":"Value of non\u2010operative measures for children duodenal intramural hematoma due to blunt abdominal trauma with gatrointestinal obstruction","volume":"20","author":"Zeng XH","year":"2021","journal-title":"J. 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