Sonographic diagnosis and monitoring of an intramural duodenal hematoma following upper endoscopic biopsy in a child

2009 ◽  
Vol 37 (9) ◽  
pp. 534-538 ◽  
Author(s):  
Dimitris Antoniou ◽  
Maria Zarifi ◽  
Fotini Gentimi ◽  
George Christopoulos-Geroulanos
Keyword(s):  
Endoscopic Biopsy ◽  
Sonographic Diagnosis ◽  
Duodenal Hematoma

Sonographic diagnosis of intramural duodenal hematoma.

1989 ◽  
Vol 8 (5) ◽  
pp. 273-276 ◽  
Author(s):  
M Hernanz-Schulman ◽  
N B Genieser ◽  
M Ambrosino
Keyword(s):  
Sonographic Diagnosis ◽  
Duodenal Hematoma

Intramural duodenal hematoma following upper gastrointestinal endoscopic biopsy

1989 ◽  
Vol 34 (2) ◽  
pp. 289-291 ◽  
Author(s):  
Stylianos A. Zinelis ◽  
Lee M. Hershenson ◽  
Michael F. Ennis ◽  
Mariella Boller ◽  
Farhad Ismail-Beigi
Keyword(s):  
Endoscopic Biopsy ◽  
Duodenal Hematoma ◽  
Upper Gastrointestinal

scholarly journals Hematoma duodenal intramural post biopsia endoscópica: una complicación inusual. Reporte de un caso pediátrico

2020 ◽  
Vol 50 (3) ◽  
Author(s):  
Claudio Iglesias ◽  
Paul Puglia ◽  
Diego Pereira Núñez
Keyword(s):  
Clinical Presentation ◽  
Therapeutic Endoscopy ◽  
Endoscopic Biopsy ◽  
Unusual Complication ◽  
Coagulation Disorders ◽  
Joint Work ◽  
Pediatric Case ◽  
Duodenal Hematoma ◽  
Conjugated Hyperbilirubinemia ◽  
Non Surgical Treatment

The intramural duodenal hematoma is a rare but well-known collateral complication after an endoscopic biopsy. It is more frequent after abdominal trauma or therapeutic endoscopy and even more in anticoagulant-treated patients or those with coagulation disorders. Clinical presentation consists of the symptoms and the signs of the intestinal obstruction, the pancreatitis and the conjugated hyperbilirubinemia. We report a pediatric case of a five-year-old female patient who was being checked for celiac disease. Without known previous bleeding or coagulation disorders, she presented a intramural duodenal hematoma with pancreatitis as a complication of the endoscopic biopsy procedure. A summary of the symptomatology and the signs, the diagnosis, the conservative treatment and evolution is described and also a reminder to paediatric endoscopists to be aware that this unusual complication can occur. This case presents the possibility that an intramural duodenal hematoma can be a complication of a duodenal endoscopic biopsy in patients with no coagulations disorders. This hematoma subsided with a non-surgical treatment (conservative), assisted by the joint work of a pediatric gastroenterologist and surgeon.

Sonographic Diagnosis and Monitoring of an Obstructing Duodenal Hematoma After Blunt Trauma

2004 ◽  
Vol 23 (12) ◽  
pp. 1679-1683 ◽  
Author(s):  
Stylianos Megremis ◽  
Nikolaos Segkos ◽  
Aikaterini Andrianaki ◽  
Georgios Gavridakis ◽  
Konstantinos Psillakis ◽  
...  
Keyword(s):  
Blunt Trauma ◽  
Sonographic Diagnosis ◽  
Duodenal Hematoma

Intramural duodenal hematoma after endoscopic biopsy in leukemic patients

1996 ◽  
Vol 44 (5) ◽  
pp. 620-623 ◽  
Author(s):  
Scott A. Lipson ◽  
Hilary A. Perr ◽  
Marion A. Koerper ◽  
James W. Ostroff ◽  
John D. Snyder ◽  
...  
Keyword(s):  
Endoscopic Biopsy ◽  
Duodenal Hematoma

scholarly journals Gastric Outlet Obstruction due to Intramural Duodenal Hematoma after Endoscopic Biopsy: Possible Therapeutic Role of Endoscopic Dilation

2018 ◽  
Vol 12 (3) ◽  
pp. 692-698
Author(s):  
Mahmud Samra ◽  
Tarek Al-Mouradi ◽  
Charles Berkelhammer
Keyword(s):  
Abdominal Pain ◽  
Gastric Outlet Obstruction ◽  
Rare Complication ◽  
Outlet Obstruction ◽  
Abdominal Ultrasound ◽  
Endoscopic Biopsy ◽  
Duodenal Hematoma ◽  
Bowel Rest ◽  
Diagnostic Modalities ◽  
Duodenal Lumen

Intramural duodenal hematoma (IDH) is an extremely rare complication after endoscopic biopsy. It typically presents with symptoms due to duodenal obstruction, which include abdominal pain and bilious vomiting. The hematoma may also expand and cause ampullary compression leading to pancreatitis and cholestasis. Computed tomography scan and abdominal ultrasound are the most common diagnostic modalities. Treatment is usually conservative, with bowel rest, nasogastric suctioning and total parenteral nutrition. Refractory cases have been described, requiring endoscopic therapy or surgical drainage. We describe a 28-year-old healthy male who presented with acute abdominal pain a few hours after a routine esophagogastrodudenoscopy with biopsies was performed. Following an otherwise uneventful endoscopy, he developed a gastric outlet obstruction and pancreatitis secondary to an IDH. The patient was managed conservatively. Resolution of his gastric outlet obstruction occurred immediately after gentle passage of the endoscope through the narrowed duodenal lumen.

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