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KMID : 0359020090390040240
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Korean Journal of Gastrointestinal Endoscopy
2009 Volume.39 No. 4 p.240 ~ p.243
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Intramural Duodenal Hematoma following Endoscopic Epinephrine and Thrombin Injection for Bleeding Duodenal Ulcer in a Geriatric Patient with a History of Anticoagulant Drug Use
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Park Jung-Bok
Bae Won-Ki
Lee Hyoung-Don
Kim Jung-Hoon
Kim Nam-Hoon
Kim Kyung-Ah
Lee June-Sung
Moon Young-Soo
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Abstract
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Intramural duodenal hematoma is a rare injury of the duodenum due mainly to blunt abdominal trauma and, less commonly, a hematologic disorder, anticoagulant drug use and post-therapeutic endoscopy. Intramural duodenal hematoma following endoscopic intervention is even rarer. Patients usually present with gradual onset of vomiting and abdominal pain approximately 48 h post-injury. The hematoma usually resolves in 1∼2 weeks with conservative therapy. Surgery is usually reserved for patients with suspected duodenal perforation, bile or pancreatic duct compression and inadequate resolution of the hematoma after 1∼2 weeks of conservative therapy. We describe a patient with a history of anticoagulant drug use who developed intramural duodenal hematoma after endoscopic hemostasis of a bleeding duodenal ulcer. Conservative therapy produced a successful outcome.
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KEYWORD
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Intramural hematoma, Duodenum, Endoscopic hemostasis
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