Korean Journal of Gastrointestinal Endoscopy  2007;34(5):269-273

A Case of Duodenal Intramural Hematoma and Hemoperitoneum after Therapeutic Endoscopy in a Patient with Chronic Renal Failure.

Dong Seon PARK 1 ; Woon Geon SHIN ; Min Kwan KIM ; Jeang A LEE ; Gyeong Mi HEO ; Hak Yang KIM

Affiliations

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Keywords

Therapeutic endoscopy; Duodenum; Hematoma; Hemoperitoneum; Chronic renal failure

Country

Republic of Korea

Language

Korean

Abstract

Duodenal intramural hematoma is mostly caused by blunt abdominal trauma. It is also less commonly reported as a complication of anticoagulation therapy or as a blood dyscrasia, and as a complication of diagnostic/ therapeutic endoscopy. The presentation of these patients is abdominal pain, vomiting, fever and hematochezia, and this is rarely accompanied with intestinal obstruction, severe pancreatitis and acute peritonitis as its complications. The diagnosis is made clear by performing abdominal ultrasonography and abdominal computed tomography. We reported here on one case of intramural duodenal hematoma and hemoperitoneum after performing endoscopic hemostasis in a chronic renal failure patient who was on maintenance hemodialysis.