Intramural duodenal hematoma complicating acute necrotizing pancreatitis

Bodnár, Zoltán; Várvölgyi, Csaba; Tóth, Judit; Sápy, Péter; Kakuk, G.

doi:10.1067/mge.2000.109587

Cited by 10 publications

(14 citation statements)

References 19 publications

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“…[4][5][6][7] To date, the exact mechanism leading to intramural hematoma in cases of pancreatitis has not yet been fully elucidated and the prognosis has not yet been completely defined, mainly due to its scarcity. 1,3,[5][6][7][8][9] This study sought to describe a case of an intramural duodenal hematoma caused by chronic exacerbation of pancreatitis.…”

Section: Introductionmentioning

confidence: 99%

“…Spontaneous intramural duodenal hematoma is uncommon and has been linked to coagulopathy, anticoagulant therapy and endoscopic procedures. [1][2][3] Other causes include several pancreatic diseases, collagenosis, peptic ulcers and pancreaticoduodenal aneurysm. [4][5][6][7] To date, the exact mechanism leading to intramural hematoma in cases of pancreatitis has not yet been fully elucidated and the prognosis has not yet been completely defined, mainly due to its scarcity.…”

Section: Introductionmentioning

confidence: 99%

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Intramural duodenal hematoma secondary to pancreatitis: case report and review of the literature

et al. 2018

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CONTEXT: Spontaneous intramural duodenal hematoma is uncommon and is usually associated with coagulopathy, anticoagulant therapy and endoscopic procedures. The aim here was to describe a case of intramural duodenal hematoma caused by chronic exacerbation of pancreatitis. CASE REPORT: A 46-year-old male with chronic alcoholic pancreatitis was admitted to hospital due to abdominal pain, melena and low hemoglobin. An intramural duodenal hematoma with active bleeding was detected and selective angioembolization was warranted. The patient evolved with a perforated duodenum and underwent laparotomy with exclusion of the pylorus and Roux-en-Y gastrojejunostomy. He was discharged nine days later. CONCLUSION: Intramural duodenal hematoma is a rare complication of pancreatitis. Selective embolization is the preferred treatment for hemorrhagic complications of pancreatitis. However, the risk of visceral ischemia and perforation should be considered.I MD. Resident Physician,

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Intramural duodenal hematoma secondary to pancreatitis: case report and review of the literature

et al. 2018

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“…The most common clinical condition is abdominal pain in the epigastric region, associated with episodes of recurrent vomiting, due to duodenal obstruction. 2,3,[8][9][10][11][12][13] Obstructive symptoms usually resolve within 10-15days. 14 Conservative treatment is often performed, consisting of naso gastric tube, antibiotic therapy, volume support and parenteral nutrition.…”

Section: Discussionmentioning

confidence: 99%

Duodenal hematoma secondary to acute chronic pancreatitis: case report and literature review

Souza¹,

Silva²,

Silva³

et al. 2019

MOJCR

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Introduction: Duodenal intramural hematoma is a rare consequence of pancreatitis, which occurs with obstruction of the duodenum, and may evolve with rupture of the organ. Case report: 47year-old male presenting abdominal pain and several episodes of vomiting. The upper gastrointestinal endoscopy and abdominal tomography confirmed the presence of duodenal intramural hematoma and pancreatitis. Conservative treatment was chosen, presenting a satisfactory response. However, it evolved with rupture of the hematoma and death. Discussion and Conclusion: duodenal intramural hematoma caused by pancreatitis is poorly reported in the literature, its treatment may be conservative or surgical, consideration should be given to the patient's clinical status and degree of duodenal involvement.

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“…Obstructive symptoms from duodenal hematomas generally resolve in 10 to 15 days; however, some patients experience a prolonged course with persistent duodenal obstruction that requires operative exploration 5. Intensive medical therapy is now gaining wide acceptance with recent advances in diagnostic imaging techniques 6. In the current case, the large hematoma was treated adequately with endoscopic evacuation of the hematoma through a fistula that was created at the erosive surface using biopsy forceps, and after this treatment, the symptoms of gastric outlet obstruction improved rapidly.…”

Section: Discussionmentioning

confidence: 99%

Successful Endoscopic Decompression for Intramural Duodenal Hematoma with Gastric Outlet Obstruction Complicating Acute Pancreatitis

2012

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Non-traumatic intramural duodenal hematoma (IDH) with duodenal obstruction caused by acute pancreatitis is rare. Most patients with non-extensive hematoma show improvement with non-operative treatments. Percutaneous drainage or surgery may be necessary in cases with suspected malignancy, perforation, or intestinal tract obstruction. We present a case of IDH caused by acute pancreatitis that led to obstruction of the duodenum and an experience of successful endoscopic decompression of the hematoma.

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Intramural duodenal hematoma complicating acute necrotizing pancreatitis

Cited by 10 publications

References 19 publications

Intramural duodenal hematoma secondary to pancreatitis: case report and review of the literature

Intramural duodenal hematoma secondary to pancreatitis: case report and review of the literature

Duodenal hematoma secondary to acute chronic pancreatitis: case report and literature review

Successful Endoscopic Decompression for Intramural Duodenal Hematoma with Gastric Outlet Obstruction Complicating Acute Pancreatitis

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