Massive dissecting intramural duodenal haematoma following endoscopic haemostasis of a bleeding duodenal ulcer.
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.
Lukman
Mohd Rashid
MR
Department of Surgery, Faculty of Medicine, Hospital Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia. drlukman@mail.hukm.ukm.my
Jasmi
Ali Yaakub
AY
Niza
S Shahrun
SS
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