Huge Intramural Duodenal Hematoma Complicated with Obstructive Jaundice following Endoscopic Hemostasis.
- Author:
Hak Su KIM
1
;
Hee Kyoung KIM
;
Won Hee KIM
;
Sung Pyo HONG
;
Joo Young CHO
Author Information
- Publication Type:Case Report
- Keywords: Duodenal ulcer; Hematoma; Cholestasis; Drainage
- MeSH: Catheters; Cholestasis; Common Bile Duct; Drainage; Duodenal Ulcer; Duodenum; Epinephrine; Hematoma*; Hemorrhage; Hemostasis, Endoscopic*; Humans; Jaundice, Obstructive*; Peptic Ulcer; Renal Dialysis; Sepsis
- From:The Korean Journal of Gastroenterology 2019;73(1):39-44
- CountryRepublic of Korea
- Language:English
- Abstract: Intramural hematoma of the duodenum is a relatively unusual complication associated with the endoscopic treatment of bleeding peptic ulcers. Intramural hematomas are typically resolved spontaneously with conservative treatment alone. We report a case of an intramural duodenal hematoma following endoscopic hemostasis with epinephrine injection therapy, which was associated with transient obstructive jaundice in a patient undergoing hemodialysis. The patient developed biliary sepsis due to obstruction of the common bile duct secondary to the huge hematoma. He was treated with fluoroscopy-guided drainage catheter insertion, which spontaneously resolved the biliary sepsis through conservative treatment in 6 weeks. Fluoroscopy-guided drainage may impact the treatment of intramural hematomas that involve life-threatening complications.
