Intramural duodenal hematoma and hemoperitoneum after endoscopic treatment in a patient with chronic renal failure on hemodialysis: a case report.
BACKGROUND
An intramural duodenal hematoma is a rare but recognized complication that usually develops after abdominal trauma, predominantly in children and young adults.


METHODS
We report the case of a patient that developed an intramural duodenal hematoma after endoscopic treatment for a bleeding ulcer who also was undergoing conventional hemodialysis for chronic renal failure associated with lupus nephritis. A hemoperitoneum and near-total duodenal obstruction developed but spontaneously resolved with conservative treatment.


CONCLUSIONS
Clinicians should be aware of such possible complications after endoscopic hemostasis in patients with coagulation disorders.
Chung
Sungjin
S
Division of Nephrology, St. Mary's Hospital, The Catholic University of Korea, 62 Yeouido-dong, Yeongdeungpo-gu, Seoul 150-713, Republic of Korea.
Park
Cheol Whee
CW
Chung
Hyun Wha
HW
Shin
Seok Joon
SJ
Chang
Yoon Sik
YS