Intramural duodenal hematoma after submucosal injection of epinephrine for a bleeding ulcer: case report and review

Dibra, Arvin

doi:10.11138/gchir/2015.36.1.029

Cited by 3 publications

(2 citation statements)

References 12 publications

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“…Most of these patients with IDH after hemostatic therapy had underlying coagulopathy, thrombocytopenia and/or liver cirrhosis [ 4 , 7 , 9 – 12 ]. Dibra et al [ 13 ] however reported a case of IDH after submucosal epinephrine therapy for duodenal bleeding ulcer in a patient without apparent underlying disease. Additionally, all the cases of IDH had a common variable of epinephrine injection therapy performed while some had an added combination of ethanolamine injections or hemostatic clipping.…”

Section: Discussionmentioning

confidence: 99%

Acute duodenal intramural hematoma complicated by acute pancreatitis—a rare complication of endoscopic epinephrine injection therapy

Ofori

Sunkara

Then

et al. 2018

Oxford Medical Case Reports

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Intramural duodenal hematoma (IDH) is a rare complication in endoscopic management of ulcer hemorrhage. Usually noted in cases of blunt abdominal trauma, non-traumatic IDHs have been reported in individuals on anticoagulation, with blood disorders, pancreatic diseases and in endoscopic procedures such as biopsy, sclerotherapy and argon plasma coagulation. Patients may be asymptomatic or present with acute blood loss anemia, abdominal pain or vomiting. We report a case of an 83-year-old man with melena and syncope who underwent endoscopy for bleeding ulcer control and subsequently developed acute pancreatitis due to an acute IDH. Computed tomography (CT) scan confirms the diagnosis. Most cases are conservatively managed however when unsuccessful, laparoscopic surgical drainage or ultrasound or CT guided drainage can be performed.

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Section: Discussionmentioning

confidence: 99%

Acute duodenal intramural hematoma complicated by acute pancreatitis—a rare complication of endoscopic epinephrine injection therapy

Ofori

Sunkara

Then

et al. 2018

Oxford Medical Case Reports

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“…Likewise, more rare causes, such as a spontaneous intramural duodenal hematoma as the manifestation of Noonan syndrome are possible [2]. In adults, trauma [3] and biopsies [4] are also described as causes of an IDH, but various other reasons and risk factors are mentioned, such as percutaneous endoscopic gastrostomy [5], endoscopic injection therapy of a bleeding ulcer [6,7], an anticoagulating therapy [8], coagulopathy (e.g., Willebrand disease) [9] or an IDH as a complication of alcohol-induced pancreatitis [10,11]. In this article, we report a rare case of a large intramural duodenal hematoma following elective endoscopic duodenal biopsy to exclude celiac disease in a previously healthy 6-year-old boy.…”

Section: Introductionmentioning

confidence: 99%

Large Duodenal Hematoma Causing an Ileus after an Endoscopic Duodenal Biopsy in a 6-Year-Old Child: A Case Report

et al. 2021

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Intramural duodenal hematoma (IDH) in children is a rare complication after esophagogastroduodenoscopy. It is commonly described in patients with additional disorders or risk factors, such as coagulopathy. We present a case of a previously healthy 6-year-old boy with a large obstructing intramural duodenal hematoma and concomitant pancreatitis after an elective esophagogastroduodenoscopy. The patient presented with typical symptoms of an IDH, such as abdominal pain and distension, nausea and vomiting. IDH was diagnosed using ultrasound and magnetic resonance imaging examination. Conservative management with gastric decompression using a nasogastric feeding tube, bowel rest, total parenteral nutrition and analgesia was performed. After three weeks, the patient was discharged from the hospital without any complaints. Interventional management of IDH in pediatric patients with a lack of response to conservative therapy or complicating IDH should be discussed in an interdisciplinary team.

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Acute pancreatitis associated with massive bleeding due to a duodenal ulcer

Uchida

Kawai

Kato

et al. 2019

Clin J Gastroenterol

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Intramural duodenal hematoma after submucosal injection of epinephrine for a bleeding ulcer: case report and review

Cited by 3 publications

References 12 publications

Acute duodenal intramural hematoma complicated by acute pancreatitis—a rare complication of endoscopic epinephrine injection therapy

Acute duodenal intramural hematoma complicated by acute pancreatitis—a rare complication of endoscopic epinephrine injection therapy

Large Duodenal Hematoma Causing an Ileus after an Endoscopic Duodenal Biopsy in a 6-Year-Old Child: A Case Report

Acute pancreatitis associated with massive bleeding due to a duodenal ulcer

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