title: Large duodenal hematoma associated with transcatheter arterial embolization following endoscopic hemostasis in a cirrhosis patient: case report.
abstract: To date, there has been no report on duodenal intramural hematoma following transcatheter arterial embolization in bleeding duodenal ulcer refractory to endoscopic hemostasis. We experienced a case of obstructive cholangitis and pancreatitis secondary to duodenal intramural hematoma associated with transcatheter arterial embolization, following endoscopic hemostatic procedures for a bleeding duodenal ulcer in a patient with cirrhosis. The patient was successfully treated with percutaneous transhepatic biliary drainage. We suggest that transcatheter arterial embolization can be a cause of duodenal intramural hematoma, and that percutaneous transhepatic biliary drainage, rather than surgical intervention, can be useful in the treatment of biliary or pancreatic obstruction secondary to duodenal intramural hematoma, especially in patients with bleeding diathesis.
authors.affiliation: Kosin University College of Medicine, Department of Internal Medicine, Busan, Republic of Korea. moonone70@hanmail.net
authors.forename: Moon
authors.initials: M
authors.lastname: Won
authors.forename: Park Mi
authors.initials: PM
authors.lastname: Jung
authors.forename: Park Seun
authors.initials: PS
authors.lastname: Ja
authors.forename: Park Moo
authors.initials: PM
authors.lastname: In
authors.forename: Jang Lee
authors.initials: JL
authors.lastname: La
authors.forename: Jung Gyoo
authors.initials: JG
authors.lastname: Sik
mesh_terms: D000368:Aged; D000792:Angiography; D004378:Duodenal Diseases / Q000209:etiology*; D004381:Duodenal Ulcer / Q000150:complications; D004621:Embolization, Therapeutic / Q000009:adverse effects*; D006471:Gastrointestinal Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D006406:Hematoma / Q000000981:diagnostic imaging / Q000209:etiology*; D016558:Hemostasis, Endoscopic; D006801:Humans; D008103:Liver Cirrhosis / Q000150:complications; D008297:Male; D014057:Tomography, X-Ray Computed