Intramural duodenal hematoma presenting as a complication of peptic ulcer disease.
We report the first case in the English literature of an intramural duodenal hematoma presenting as a complication of Helicobacter pylori-induced peptic ulcer disease. Intramural duodenal hematomas have been previously described in patients-usually in the setting of blunt trauma, postendoscopic biopsy, gastrostomy placement, and hemostatic therapy and in patients with a coagulopathy or bleeding diathesis-but not as a presentation of peptic ulcer disease. It is important to recognize this complication, as surgical management may benefit patients with a duodenal hematoma.
Ahn
M S
MS
Department of Medicine, University of California, San Diego, California, U.S.A.
Miyai
K
K
Carethers
J M
JM
D001706:Biopsy; D003937:Diagnosis, Differential; D004378:Duodenal Diseases / Q000209:etiology* / Q000473:pathology; D004386:Duodenum / Q000473:pathology; D005753:Gastric Mucosa / Q000473:pathology; D017219:Gastric Outlet Obstruction / Q000209:etiology / Q000473:pathology; D016481:Helicobacter Infections / Q000150:complications* / Q000473:pathology; D016480:Helicobacter pylori; D006406:Hematoma / Q000209:etiology* / Q000473:pathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D010437:Peptic Ulcer / Q000150:complications* / Q000473:pathology; D010438:Peptic Ulcer Hemorrhage / Q000209:etiology* / Q000473:pathology