title: Massive dissecting intramural duodenal haematoma following endoscopic haemostasis of a bleeding duodenal ulcer.
abstract: Intramural duodenal haematoma is a rare injury of the duodenum. Most reported cases are secondary to blunt trauma to the abdomen. Such injury following endoscopic intervention is even rarer, and there are no definite guidelines for its management. We report a case where endoscopic haemostasis of a bleeding duodenal ulcer resulted in a massive dissecting intramural duodenal haematoma with gastric outlet obstruction and obstructive jaundice.
authors.affiliation: Department of Surgery, Faculty of Medicine, Hospital Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia. drlukman@mail.hukm.ukm.my
authors.forename: Mohd Rashid
authors.initials: MR
authors.lastname: Lukman
authors.forename: Ali Yaakub
authors.initials: AY
authors.lastname: Jasmi
authors.forename: S Shahrun
authors.initials: SS
authors.lastname: Niza
mesh_terms: D000328:Adult; D004378:Duodenal Diseases / Q000209:etiology*; D004381:Duodenal Ulcer / Q000628:therapy*; D006406:Hematoma / Q000209:etiology*; D016558:Hemostasis, Endoscopic; D006801:Humans; D008297:Male; D010438:Peptic Ulcer Hemorrhage / Q000628:therapy*; D011183:Postoperative Complications