Spontaneous intramural duodenal hematoma complicating acute pancreatitis

Fukunaga, Naoto; Ishikawa, Masashi; Yamamura, Yoko; Ichimori, Toshihiro; Sakata, Akihiro

doi:10.1016/j.surg.2009.06.014

Cited by 14 publications

(21 citation statements)

References 4 publications

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“…[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. 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%

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%

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

et al. 2018

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“…IDH occurs mostly due to blunt abdominal trauma however; it may complicate pancreatitis, endoscopic biopsy, or peptic ulcer disease [4] , [5] , [6] .…”

Section: Discussionmentioning

confidence: 99%

Surgical management of complicated intra-mural duodenal hematoma: A case-report and review of literature

Elmoghazy

Noaman

Mahfouz

et al. 2015

International Journal of Surgery Case Reports

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“…Intramural duodenal haematoma (IDH) is a rare condition forming haematoma within the wall of the duodenum, which was first reported in 1838 by MacLauchlan 1. IDH derived from acute or chronic pancreatitis is rarely described, the mechanism remaining unknown.…”

Section: Descriptionmentioning

confidence: 99%

Intramural duodenal haematoma caused by pancreatic fistula due to exacerbation of chronic pancreatitis

Kitadani¹,

Yamade²,

Nakai³

et al. 2018

BMJ Case Reports

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Spontaneous intramural duodenal hematoma complicating acute pancreatitis

Cited by 14 publications

References 4 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

Surgical management of complicated intra-mural duodenal hematoma: A case-report and review of literature

Intramural duodenal haematoma caused by pancreatic fistula due to exacerbation of chronic pancreatitis

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