
Figures 14, 15. (14) Focal hematoma in a 5-year-old girl with a 12-hour history of increasing abdominal pain and vomiting. She had fallen against bicycle handlebars 36 hours earlier. CT scan shows a large duodenal-jejunal hematoma (H, arrows). (15) Focal hematoma in a 6-year-old boy with a 3-day history of vomiting. He had had an on-ice collision with his hockey coach 2 weeks earlier. The serum amylase level was normal. CT scan shows a large mass (H) in the left upper quadrant that drapes over bowel loops (B). An upper gastrointestinal study showed complete obstruction due to the mass. The mass was thought to be a large intramural jejunal hematoma. The patient was initially treated conservatively and received total parenteral nutrition. However, the symptoms did not improve and the mass persisted, and thus it was drained percutaneously. The contents were consistent with old blood and showed no amylase.