title: [A case of intramural duodenal hematoma accompanied by acute pancreatitis following endoscopic hemostasis for duodenal ulcer bleeding].
abstract: Intramural duodenal hematoma is an uncommon condition, which usually develops after blunt abdominal trauma. It is also reported as a complication of anticoagulant therapy, blood dyscrasia, pancreatic disease, and diagnostic and therapeutic endoscopy. The typical clinical pictures of intramural duodenal hematoma consist of upper abdominal pain, vomiting, fever, and hematochezia, and it is rarely accompanied by intestinal obstruction, peritonitis, and pancreatitis as its complication. We report a case of intramural duodenal hematoma extended to peritoneal cavity, and accompanied by acute pancreatitis following therapeutic endoscopy for duodenal ulcer bleeding in a 32-year-old man who was on maintenance of anti-coagulation therapy after valvular heart surgery.
authors.affiliation: Department of Internal Medicine, National Health Insurance Ilsan Hospital, Goyang, Korea.
authors.forename: Min Keun
authors.initials: MK
authors.lastname: Song
authors.forename: Joon Beom
authors.initials: JB
authors.lastname: Shin
authors.forename: Ha Na
authors.initials: HN
authors.lastname: Park
authors.forename: Eun Jin
authors.initials: EJ
authors.lastname: Kim
authors.forename: Ki Cheun
authors.initials: KC
authors.lastname: Jeong
authors.forename: Dong Hwan
authors.initials: DH
authors.lastname: Kim
authors.forename: Jae Bock
authors.initials: JB
authors.lastname: Chung
authors.forename: Do Young
authors.initials: DY
authors.lastname: Kim
mesh_terms: D000208:Acute Disease; D000328:Adult; D003937:Diagnosis, Differential; D004378:Duodenal Diseases / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D004381:Duodenal Ulcer / Q000150:complications*; D006406:Hematoma / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D016558:Hemostasis, Endoscopic; D006801:Humans; D008297:Male; D010195:Pancreatitis / Q000150:complications / Q000175:diagnosis*; D010438:Peptic Ulcer Hemorrhage / Q000628:therapy*; D011183:Postoperative Complications; D014057:Tomography, X-Ray Computed