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KMID : 0614620070490010045
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Korean Journal of Gastroenterology
2007 Volume.49 No. 1 p.45 ~ p.49
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A Case of Duodenal Intramural Hematoma Treated by Percutaneous External Drainage
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Kwon Chang-Il
Choi Ki-Hyun
Ko Eun-Hyang
Lee Ji-Hyun
Song Young-Jun
Ko Kwang-Hyun
Hong Sung-Pyo
Park Pil-Won
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Abstract
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Complicating intramural hematoma is an interesting, relatively unusual condition. Various etiologic factors have been described, with the most common being blunt trauma, anticoagulant therapy, Henoch-Schonlein purpura and blood dyscrasias. Most intramural hematomas resolve spontaneously with conservative treatment, and the prognosis is good. However, if the abdominal pain or obstruction does not resolve with medical management over seven to ten days, complications such as infarction or peritonitis may occur, and surgical intervention might be required. We report a case of intramural hematoma of duodenum treated with percutaneous drainage and embolization of bleeding focus which was complicated with acute pancreatitis after anticoagulation treatment in a patient with recurrent history of deep vein thrombosis. In addition, we reviewed reports of intramural hematoma of the duodenum and treatment strategies. (Korean J Gastroenterol 2007;49:45-49)
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KEYWORD
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Intramural hematoma, Duodenum, Percutaneous drainage
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