title: Duodenal hematoma following endoscopic duodenal biopsy: a case report and review of the existing literature.
abstract: Duodenal hematoma is a rare complication of endoscopic duodenal biopsy that occurs mainly in children or adults with impaired coagulation. The clinical presentation consists of signs of intestinal obstruction, and pancreatitis and direct hyperbilirubinemia are possible complications caused by ampullary obstruction. A case of a six-year-old girl who presented with a duodenal hematoma and acute pancreatitis after having an endoscopic duodenal biopsy is reported. A review of the literature and data from all similar cases reported so far are briefly presented and discussed.
authors.affiliation: Division of Pediatric Gastroenterology and Hepatology, Federal University of Bahia, Salvador, Brazil. danieldiniz82@ig.com.br
authors.forename: D R
authors.initials: DR
authors.lastname: Diniz-Santos
authors.forename: Romilda C
authors.initials: RC
authors.lastname: de Andrade Cairo
authors.forename: Hélio
authors.initials: H
authors.lastname: Braga
authors.forename: Cesar
authors.initials: C
authors.lastname: Araújo-Neto
authors.forename: Igelmar B
authors.initials: IB
authors.lastname: Paes
authors.forename: Luciana R
authors.initials: LR
authors.lastname: Silva
mesh_terms: D001706:Biopsy / Q000009:adverse effects*; D002648:Child; D004386:Duodenum / Q000000981:diagnostic imaging / Q000293:injuries* / Q000473:pathology; D004724:Endoscopy / Q000009:adverse effects*; D004791:Enzyme Inhibitors / Q000627:therapeutic use; D005260:Female; D006406:Hematoma / Q000209:etiology*; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology* / Q000628:therapy; D009853:Omeprazole / Q000627:therapeutic use; D011859:Radiography
chemical_list: D004791:Enzyme Inhibitors; D009853:Omeprazole