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KMID : 0359020090380020094
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Korean Journal of Gastrointestinal Endoscopy
2009 Volume.38 No. 2 p.94 ~ p.97
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A Case of Intramural Duodenal Hematoma after the Use of the Endoscopic Epinephrine Injection Method for Duodenal Ulcer Bleeding in a Chronic Renal Failure Patient undergoing Maintenance Hemodialysis
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Ahn Young-Yong
Ann Seo-Hee
Lee Jung-Eun
Lee Wook-Hyun
Jeong Yeon-Oh
Kim Eun-Hea
Sung Hea-Jung
Kang Sang-Bum
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Abstract
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An intramural duodenal hematoma has been mostly reported as a consequence of trauma. It can also result from a hematological disorder, anticoagulant drug use and a post-therapeutic endoscopic procedure. Common symptoms of patients with an intramural duodenal hematoma are vomiting and abdominal pain. An intramural duodenal hematoma is rarely accompanied with pancreatitis and cholangitis due to intestinal obstruction. A diagnosis is made by esophagogastroduodenoscopy and the use of an abdominal CT scan. An intramural duodenal hematoma is mainly
treated with conservative therapy but it may sometimes be treated with a surgical procedure. We report one case of an intramural duodenal hematoma after performing a therapeutic endoscopic procedure in a chronic renal failure patient
undergoing maintenance hemodialysis.
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KEYWORD
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Intramural hematoma, Duodenum, Chronic renal failure, Duodenoscopy
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