Intramural duodenal hematoma as a complication of pancreatic cancer

Chou, An-Liang; Tseng, Kuo‐Chih; Hsieh, Yu–Hsi; Wang, Feng; Tseng, Chuen-Den

doi:10.1055/s-2006-945128

Cited by 8 publications

(7 citation statements)

References 2 publications

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“…Spontaneous intramural intestinal hematomas also occur in humans due to a coagulopathy 25−28 . Other less common causes include endoscopic small bowel biopsy, 29 intestinal ulceration, 12 and pancreatic disease 10,30,31 . Intramural duodenal hematomas have been described in association with different types of pancreatic disease, such as acute and chronic pancreatitis, 10,11 pancreatic neoplasia, 31 and ectopic pancreatic tissue inside the duodenal wall 32 .…”

Section: Discussionmentioning

confidence: 99%

Imaging Diagnosis-Spontaneous Intramural Canine Duodenal Hematoma

Heng

Huang

Baird

et al. 2010

Veterinary Radiology &Amp; Ultrasound

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A 9-year-old neutered female Pug with a 2-week history of pancreatitis was presented for dyspnea, icterus, and intractable vomiting. Sonographically, the gallbladder, intrahepatic bile ducts, and common bile duct were distended. The pancreas was hypoechoic with hyperechoic peripancreatic fat. A mildly heterogeneous intramural mass was present in the muscularis layer of the descending duodenum. A presumptive diagnosis of pancreatitis and smooth muscle tumor of the duodenum leading to common bile duct obstruction was made. The dog died despite supportive care. Necropsy examination confirmed the presence of pancreatitis and an intramural duodenal hematoma. r

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Section: Discussionmentioning

confidence: 99%

Imaging Diagnosis-Spontaneous Intramural Canine Duodenal Hematoma

Heng

Huang

Baird

et al. 2010

Veterinary Radiology &Amp; Ultrasound

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“…Nontraumatic intramural hematoma is usually associated with hemorrhagic tendency, including excessive anticoagulation with warfarin, hemophilia, idiopathic thrombocytopenic purpura, leukemia, chemotherapy, pseudoaneurysm, vasculitis, pancreatitis, and pancreatic cancer [3,4]. In the present case, the patient had been on an antiplatelet drug (cilostazol).…”

Section: Discussionmentioning

confidence: 87%

Nontraumatic intramural hematoma of the duodenum

Furukawa

Iida

Shiba

et al. 2009

Clin J Gastroenterol

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We present a case of nontraumatic intramural hematoma of the duodenum. A 77-year-old woman complained of nausea, vomiting, and abdominal pain during hospitalization. There was no traumatic episode. Laboratory data showed anemia (hemoglobin, 7.7 g/dl). The diagnosis was confirmed by computed tomography (CT), which showed a mixed hyperdense and hypodense mass obstructing the third portion of the duodenum. The cause was considered to be bleeding tendency caused by an antiplatelet drug. The patient was treated conservatively and the size of the hematoma was followed on CT. She was able to resume oral feeding 2 weeks after admission.

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“…Conservative treatment of intramural duodenal hematoma usually leads to improvement of symptoms within 4–6 days. 5 Complete resolution usually occurs within 2 months after the onset. Patients who have an intramural duodenal hematoma as a result of anticoagulation can usually safely resume therapy after resolution of the hematoma.…”

Section: Discussionmentioning

confidence: 99%

“…Patients who have an intramural duodenal hematoma as a result of anticoagulation can usually safely resume therapy after resolution of the hematoma. 5 …”

Section: Discussionmentioning

confidence: 99%

Intramural Duodenal Hematoma with Acute Pancreatitis in a Patient With an Overt Pancreatic Malignancy

Khurana

Shah

Ali

et al. 2014

ACG Case Reports Journal

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Intramural hematomas have rarely been associated with pancreatitis, and to date there is only 1 case report of an intramural hematoma occurring with pancreatic adenocarcinoma. We describe a patient who presented with gastric outlet obstruction secondary to a spontaneous intramural duodenal hematoma and was found to have a pancreatic adenocarcinoma on endoscopic ultrasound (EUS) after it was not visualized by computed tomography (CT).

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Intramural duodenal hematoma as a complication of pancreatic cancer

Cited by 8 publications

References 2 publications

Imaging Diagnosis-Spontaneous Intramural Canine Duodenal Hematoma

Imaging Diagnosis-Spontaneous Intramural Canine Duodenal Hematoma

Nontraumatic intramural hematoma of the duodenum

Intramural Duodenal Hematoma with Acute Pancreatitis in a Patient With an Overt Pancreatic Malignancy

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