A Case of Intramural Duodenal Hematoma after the Use of the Endoscopic Epinephrine Injection Method for Duodenal Ulcer Bleeding in a Chronic Renal Failure Patient undergoing Maintenance Hemodialysis.
- Author:
Young Yong AHN
1
;
Soe Hee ANN
;
Jeong Eun YI
;
Wook Hyun LEE
;
Yeon Oh JEONG
;
Eun Hea KIM
;
Hea Jung SUNG
;
Sang Bum KANG
Author Information
1. Department of Internal Medicine, Daejeon St. Mary's Hospital Medical, The Catholic University of Korea College of Medicine, Daejeon, Korea. ksb1999@hanatos.com
- Publication Type:Case Report
- Keywords:
Intramural hematoma;
Duodenum;
Chronic renal failure;
Duodenoscopy
- MeSH:
Abdominal Pain;
Cholangitis;
Duodenal Ulcer;
Duodenoscopy;
Duodenum;
Endoscopy, Digestive System;
Epinephrine;
Hematoma;
Hemorrhage;
Humans;
Intestinal Obstruction;
Kidney Failure, Chronic;
Pancreatitis;
Renal Dialysis;
Vomiting
- From:Korean Journal of Gastrointestinal Endoscopy
2009;38(2):94-
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
An intramural duodenal hematoma has been mostly reported as a consequence of trauma. It can also result from a hematological disorder, anticoagulant drug use and a post-therapeutic endoscopic procedure. Common symptoms of patients with an intramural duodenal hematoma are vomiting and abdominal pain. An intramural duodenal hematoma is rarely accompanied with pancreatitis and cholangitis due to intestinal obstruction. A diagnosis is made by esophagogastroduodenoscopy and the use of an abdominal CT scan. An intramural duodenal hematoma is mainly treated with conservative therapy but it may sometimes be treated with a surgical procedure. We report one case of an intramural duodenal hematoma after performing a therapeutic endoscopic procedure in a chronic renal failure patient undergoing maintenance hemodialysis.
