5 Key Takeaways

• 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.