Duodenal hematoma and acute pancreatitis after upper gastrointestinal endoscopy

Intramural Duodenal Hematoma after Endoscopic Therapy for a Bleeding Duodenal Ulcer in a Patient with Liver Cirrhosis

“…To our knowledge, 16 cases of nontraumatic intramural hematoma of the duodenum have been reported as a complication of endoscopic biopsy or sclerotherapy (8)(9)(10)(11)(12)(13)(14)(15). As shown in Table 2, six cases of duodenal hematomas are reported after endoscopic therapy for bleeding ulcers (13)(14)(15).…”

“…On the other hand, ten cases of nontraumatic duodenal hematoma were reported as a complication of endoscopic biopsy (8)(9)(10)(11)(12). Seven of those patients were under 15 years old and four patients had leukemia.…”

“…It is also, and less commonly, reported as a complication of anticoagulant therapy, blood dyscrasia, pancreatic disease and collagen vascular disease (1)(2)(3)(4)(5)(6). Intramural hematoma of the duodenum has been reported as a complication of diagnostic or therapeutic endoscopy (7)(8)(9)(10)(11)(12)(13)(14)(15). We report a case of intramural hematoma of the duodenum after clipping of a bleeding duodenal ulcer and endoscopic injection of epinephrine in a patient with liver cirrhosis, and review reports of iatrogenic intramural hematoma of the duodenum.…”

Intramural duodenal hematoma after upper gastrointestinal endoscopy

“…All standard coagulation parameters were within the limits of the norm. Few occurrences are reported without a predisposing factor [5][6][7] as in this case.…”

Hematemesis y vómitos persistentes en paciente anticoagulada

“…En adultos el 80% de los hematomas duodenales son secundarios a traumatismos y también se han descrito como complicaciones de procedimientos endoscópicos tanto diagnósticos como terapéuticos (2,3). El hematoma espontáneo es poco frecuente y se observa en pacientes bajo tratamiento anticoagulante, con discrasias sanguíneas, enfermedades autoinmunes o más raramente como complicación de úlcera pép-tica o de pancreatitis aguda (4,5).…”