Intramural Duodenal Hematoma and Acute Pancreatitis

Endoscopy ◽  
2003 ◽  
Vol 35 (8) ◽  
pp. 708 ◽  
2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Hemant Goyal ◽  
Umesh Singla ◽  
Roli R. Agrawal

We describe an interesting case of intramural duodenal hematoma in an otherwise healthy male who presented to emergency room with gradually progressive abdominal pain, nausea, and vomiting. This condition was missed on initial evaluation and patient was discharged from emergency room with diagnosis of acute gastritis. After 3 days, patient came back to emergency room and abdominal imaging studies were conducted which showed that patient had intramural duodenal hematoma associated with gastric outlet obstruction and pancreatitis. Hematoma was the cause of acute pancreatitis as pancreatic enzymes levels were normal at the time of first presentation, but later as the hematoma grew in size, it caused compression of pancreas and subsequent elevation of pancreatic enzymes. We experienced a case of pancreatitis which was caused by intramural duodenal hematoma. This case was missed on initial evaluation. We suggest that physicians should be more vigilant about this condition.


2012 ◽  
Vol 107 ◽  
pp. S328-S329
Author(s):  
Hemant Goyal ◽  
Umesh Singla ◽  
Vijay Arya

Endoscopy ◽  
2013 ◽  
Vol 45 (S 02) ◽  
pp. E51-E52 ◽  
Author(s):  
N. Veloso ◽  
P. Amaro ◽  
M. Ferreira ◽  
J. Romãozinho ◽  
C. Sofia

2006 ◽  
Vol 20 (1) ◽  
pp. 39-42 ◽  
Author(s):  
Daniel R Diniz-Santos ◽  
Romilda C de Andrade Cairo ◽  
Hélio Braga ◽  
Cesar Araújo-Neto ◽  
Igelmar B Paes ◽  
...  

Duodenal hematoma is a rare complication of endoscopic duodenal biopsy that occurs mainly in children or adults with impaired coagulation. The clinical presentation consists of signs of intestinal obstruction, and pancreatitis and direct hyperbilirubinemia are possible complications caused by ampullary obstruction. A case of a six-year-old girl who presented with a duodenal hematoma and acute pancreatitis after having an endoscopic duodenal biopsy is reported. A review of the literature and data from all similar cases reported so far are briefly presented and discussed.


2020 ◽  
Vol 115 (1) ◽  
pp. S694-S694
Author(s):  
Alay G. Tikue ◽  
Genanew Bedanie ◽  
Mohamed Zitun ◽  
Passisd Laoveeravat ◽  
Mohamed Elmassry ◽  
...  

2009 ◽  
Vol 53 (5) ◽  
pp. 311 ◽  
Author(s):  
Min Keun Song ◽  
Joon Beom Shin ◽  
Ha Na Park ◽  
Eun Jin Kim ◽  
Ki Cheun Jeong ◽  
...  

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