Intramural Duodenal Hematoma following Endoscopic Epinephrine and Thrombin Injection for Bleeding Duodenal Ulcer in a Geriatric Patient with a History of Anticoagulant Drug Use.
- Author:
Jung Bok PARK
1
;
Won Ki BAE
;
Hyoung Don LEE
;
Jung Hoon KIM
;
Nam Hoon KIM
;
Kyung Ah KIM
;
June Sung LEE
;
Young Soo MOON
Author Information
1. Department of Internal Medicine, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea. mdbae@paik.ac.kr
- Publication Type:Case Report
- Keywords:
Intramural hematoma;
Duodenum;
Endoscopic hemostasis
- MeSH:
Abdominal Pain;
Bile;
Duodenal Ulcer;
Duodenum;
Endoscopy;
Epinephrine;
Hematoma;
Hemorrhage;
Hemostasis, Endoscopic;
Humans;
Pancreatic Ducts;
Thrombin;
Vomiting
- From:Korean Journal of Gastrointestinal Endoscopy
2009;39(4):240-243
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Intramural duodenal hematoma is a rare injury of the duodenum due mainly to blunt abdominal trauma and, less commonly, a hematologic disorder, anticoagulant drug use and post-therapeutic endoscopy. Intramural duodenal hematoma following endoscopic intervention is even rarer. Patients usually present with gradual onset of vomiting and abdominal pain approximately 48 h post-injury. The hematoma usually resolves in 1~2 weeks with conservative therapy. Surgery is usually reserved for patients with suspected duodenal perforation, bile or pancreatic duct compression and inadequate resolution of the hematoma after 1~2 weeks of conservative therapy. We describe a patient with a history of anticoagulant drug use who developed intramural duodenal hematoma after endoscopic hemostasis of a bleeding duodenal ulcer. Conservative therapy produced a successful outcome.
