scholarly journals Gastrointestinal: Anticoagulant‐induced intramural duodenal hematoma presenting as gastric outlet obstruction

2020 ◽  
Author(s):  
B Mallick ◽  
P Nath ◽  
DL Praharaj ◽  
SC Panigrahi ◽  
AC Anand
Keyword(s):  
Gastric Outlet Obstruction ◽  
Outlet Obstruction ◽  
Duodenal Hematoma

scholarly journals A Rare Case of Gastric Outlet Obstruction due to Large Intramural Duodenal Hematoma Following Endotherapy for Bleeding Duodenal Ulcer in a Patient with End-stage Renal Disease

2017 ◽  
Vol 08 (04) ◽  
pp. 199-201
Author(s):  
Vineet Kumar Gupta ◽  
Ram Chandra Soni
Keyword(s):  
Duodenal Ulcer ◽  
Renal Disease ◽  
Gastric Outlet Obstruction ◽  
Rare Case ◽  
Outlet Obstruction ◽  
Maintenance Hemodialysis ◽  
Elderly Male ◽  
Duodenal Hematoma ◽  
Nasojejunal Feeding ◽  
Bleeding Duodenal Ulcer

ABSTRACTWe report a very rare case and probably the first from India of gastric outlet obstruction due to a large intramural duodenal hematoma following combination endotherapy with hemoclipping and injection adrenaline 1:10,000 for actively bleeding duodenal ulcer in an elderly male patient with diabetes, hypertension, and end.stage renal disease on maintenance hemodialysis. The patient improved to approximately 6 weeks of conservative treatment with nasojejunal feeding.

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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