[A case of duodenal intramural hematoma treated by percutaneous external drainage].
Complicating intramural hematoma is an interesting, relatively unusual condition. Various etiologic factors have been described, with the most common being blunt trauma, anticoagulant therapy, Henoch-Sch nlein purpura and blood dyscrasias. Most intramural hematomas resolve spontaneously with conservative treatment, and the prognosis is good. However, if the abdominal pain or obstruction does not resolve with medical management over seven to ten days, complications such as infarction or peritonitis may occur, and surgical intervention might be required. We report a case of intramural hematoma of duodenum treated with percutaneous drainage and embolization of bleeding focus which was complicated with acute pancreatitis after anticoagulation treatment in a patient with recurrent history of deep vein thrombosis. In addition, we reviewed reports of intramural hematoma of the duodenum and treatment strategies.
Kwon
Chang-Il
CI
Department of Internal Medicine, Bundang CHA General Hospital, College of Medicine, Pochon CHA University, Seongnam, Korea.
Choi
Ki Hyun
KH
Ko
Eun Hyang
EH
Lee
Ji Hyun
JH
Song
Young Jun
YJ
Ko
Kwang Hyun
KH
Hong
Sung Pyo
SP
Park
Pil Won
PW
D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use; D002404:Catheterization; D004322:Drainage; D004378:Duodenal Diseases / Q000175:diagnosis* / Q000628:therapy*; D005471:Fluoroscopy; D006406:Hematoma / Q000175:diagnosis* / Q000628:therapy*; D006801:Humans; D008297:Male; D015912:Thrombolytic Therapy; D014057:Tomography, X-Ray Computed
D000925:Anticoagulants