title: Acute pancreatitis with an intramural duodenal hematoma.
abstract: The patient was a 43-year-old man admitted to the hospital with intermittent epigastric pain and vomiting, without any evidence of trauma. Blood tests showed elevated lipase/amylase levels. Abdominal computed tomography (CT) revealed pancreatitis complicated by an intramural duodenal hematoma (IDH). He was conservatively treated, and one month after admission, follow-up panendoscopy showed normal duodenal mucosa without luminal narrowing. Non-traumatic IDH is typically associated with coagulation abnormalities. Abdominal CT is an excellent tool for diagnosis in cases of acute abdomen. However, the pathogenesis of and relationship between IDH and pancreatitis remain unknown.
authors.affiliation: Department of Emergency Medicine, Taipei Veterans General Hospital; 2. Emergency Medicine, College of Medicine, National Yang-Ming University, Taiwan.
authors.forename: Chia-Ming
authors.initials: CM
authors.lastname: Chang
authors.forename: Hsien-Hao
authors.initials: HH
authors.lastname: Huang
authors.forename: Chorng-Kuang
authors.initials: CK
authors.lastname: How
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000328:Adult; D004378:Duodenal Diseases / Q000150:complications* / Q000175:diagnosis*; D004386:Duodenum / Q000000981:diagnostic imaging / Q000473:pathology; D006471:Gastrointestinal Hemorrhage / Q000150:complications*; D006406:Hematoma / Q000150:complications* / Q000175:diagnosis*; D006801:Humans; D007413:Intestinal Mucosa / Q000473:pathology; D008297:Male; D010195:Pancreatitis / Q000150:complications* / Q000175:diagnosis*; D014057:Tomography, X-Ray Computed; D014839:Vomiting / Q000209:etiology