title: Spontaneous intramural duodenal haematoma with transient biliary obstruction and acute cholecystitis.
abstract: Intramural duodenal haematoma (IDH) is uncommon and usually presents with upper gastrointestinal bleeding. Trauma, anticoagulant therapy, blood coagulation disorders and endoscopic interventions have been reported to cause IDH. IDH secondary to antiplatelet therapy has not been previously reported in the literature. We report IDH secondary to aspirin therapy that was associated with transient obstructive jaundice and acute cholecystitis in a 47-year-old woman. The patient was successfully managed with conservative management.
authors.affiliation: Gastroenterology Unit, Department of Medicine, Raja Isteri Pengiran Anak Saleha Hospital, Bandar Seri, Begawan, BA 1710 Brunei Darussalam.
authors.forename: N
authors.initials: N
authors.lastname: Basir
authors.forename: V H
authors.initials: VH
authors.lastname: Chong
mesh_terms: D001241:Aspirin / Q000009:adverse effects; D041881:Cholecystitis, Acute / Q000150:complications*; D001651:Cholestasis, Extrahepatic / Q000150:complications*; D004378:Duodenal Diseases / Q000139:chemically induced / Q000150:complications*; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000139:chemically induced / Q000150:complications*; D006406:Hematoma / Q000139:chemically induced / Q000150:complications*; D006801:Humans; D008875:Middle Aged; D010975:Platelet Aggregation Inhibitors / Q000009:adverse effects
chemical_list: D010975:Platelet Aggregation Inhibitors; D001241:Aspirin