Intramural duodenal hematoma following upper gastrointestinal endoscopic biopsy.
We report a case of a patient who developed an intramural duodenal hematoma after an endoscopic biopsy which caused obstruction of the duodenum with obstructive jaundice and pancreatitis. We speculate the limited mobility of the duodenum and its rich submucosal vascular plexus were the crucial factors.
Zinelis
S A
SA
Department of Medicine, Shadyside Hospital, Pittsburg, Pennsylvania 15232.
Hershenson
L M
LM
Ennis
M F
MF
Boller
M
M
Ismail-Beigi
F
F
D000328:Adult; D001706:Biopsy / Q000009:adverse effects*; D002779:Cholestasis / Q000209:etiology; D004380:Duodenal Obstruction / Q000209:etiology; D004386:Duodenum / Q000000981:diagnostic imaging / Q000293:injuries*; D004724:Endoscopy / Q000009:adverse effects*; D006406:Hematoma / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D008297:Male; D010195:Pancreatitis / Q000209:etiology; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography