PMC9126858_01
Computed Tomography of abdomen: Duodenum wall edema.
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A previous computed tomography (CT) of the abdomen with contrast done 14 days prior showed hepatic steatosis with no biliary dilation, status post cholecystectomy, peripancreatic fat stranding around the pancreatic head consistent with acute pancreatitis, as well as possible duodenal edema seen at the descending and transverse level (Figure 1).
Computed tomography of abdomen: Showing duodenal hematoma.
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CT of the abdomen to evaluate for possible peritoneal bleed. CT angiography showed a large intramural hematoma of the third and fourth part of duodenum and pancreatic necrosis (Figure 2).
Upper Gastrointestinal series: gastric duodenal obstruction is confirmed as no contrast is seen pass duodenum.
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An upper gastrointestinal series revealed severe constriction of duodenum consistent with gastric outlet syndrome secondary to the IDH (Figure 3).