Laparoscopic finding and imaging of the iatrogenic duodenal intramural hematoma.
Intramural duodenal hematoma is rarely seen in adults and may occur as an iatrogenic complication of endoscopic injection for peptic ulcer treatment. In the appropriate clinical setting, the diagnosis is easy with its ultrasonography and computed tomography characteristic findings. In one of our patients, UGI study revealed duodenal obstruction, bowel related lesion in sonography and hyperdense mass lesion in computed tomography. Clinical presentation of severe vomiting and epigastralgia were noted. Laparoscopy confirmed the location of the hematoma and subsequent evacuation was performed. The symptoms were relieved after the operation and a follow-up sonography demonstrated the regression of the duodenal hematoma.
Han
S J
SJ
Department of Radiology, Internal Medicine and Surgery, Tainan Municipal Hospital, Taiwan, R.O.C.
Tsai
C C
CC
Mo
L R
LR
Tseng
L J
LJ
Yau
M P
MP
D000328:Adult; D004378:Duodenal Diseases / Q000175:diagnosis* / Q000000981:diagnostic imaging; D004381:Duodenal Ulcer / Q000150:complications / Q000628:therapy; D004724:Endoscopy; D004837:Epinephrine / Q000008:administration & dosage / Q000627:therapeutic use; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis* / Q000000981:diagnostic imaging; D006406:Hematoma / Q000175:diagnosis* / Q000000981:diagnostic imaging; D006801:Humans; D007049:Iatrogenic Disease; D015552:Injections, Intralesional; D010535:Laparoscopy; D008297:Male; D010438:Peptic Ulcer Hemorrhage / Q000628:therapy; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography
D004837:Epinephrine