A Case of Duodenal Intramural Hematoma Complicated with Chronic Pancreatitis.
- Author:
Byoung Do PARK
1
;
Don Haeng LEE
;
Seok JEONG
;
Jung Il LEE
;
Jin Woo LEE
;
Hyung Gil KIM
;
Yong Woon SHIN
;
Yong Soo KIM
Author Information
1. Department of Internal Medicine, Inha University College of Medicine, Incheon, Korea. inos@inha.ac.kr
- Publication Type:Case Report
- Keywords:
Duodenal hematoma;
Pancreatitis
- MeSH:
Abdominal Pain;
Adult;
Alcoholics;
Anticoagulants;
Child;
Duodenal Ulcer;
Hematemesis;
Hematoma;
Hemophilia A;
Hemorrhage;
Humans;
Korea;
Male;
Middle Aged;
Pancreatic Diseases;
Pancreatitis;
Pancreatitis, Chronic;
Purpura, Schoenlein-Henoch;
Vasculitis
- From:Korean Journal of Gastrointestinal Endoscopy
2008;37(3):207-211
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The majority of cases of duodenal intramural hematoma occur in children due to blunt abdominal trauma. In adult patients, the etiology of hematoma is quite varied. A hematoma may occur due to the usage of anticoagulants, hemophilia, Henoch-Schonlein purpura, vasculitis, pancreatic disease, endoscopic coagulation of duodenal ulcer bleeding and following an endoscopic retrograde cholangiopancreatogram. A 53-year-old male patient was admitted for hematemesis. The patient was a heavy alcoholic and had a history of chronic pancreatitis, but there was no definite trauma history or other medical illness. In the duodenal second portion, a huge submucosal mass obstructed the lumen with submucosal hemorrhage. As depicted on an abdominal CT and an endoscopic ultrasonogram, chronic pancreatitis and a duodenal submucosal tumor was suspected. On the eighth hospital day, abdominal pain suddenly became worse and peritoneal-irritation signs were observed. Therefore, a surgical procedure was urgently performed. Considering the rarity of its etiology in Korea, we report a case of duodenal intramural hematoma complicated with chronic pancreatitis.
