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KMID : 0614620190730010039
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Korean Journal of Gastroenterology
2019 Volume.73 No. 1 p.39 ~ p.44
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Huge Intramural Duodenal Hematoma Complicated with Obstructive Jaundice following Endoscopic Hemostasis
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Kim Hak-Su
Kim Hee-Kyoung
Kim Won-Hee
Hong Sung-Hwa
Cho Joo-Young
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Abstract
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Intramural hematoma of the duodenum is a relatively unusual complication associated with the endoscopic treatment of bleeding peptic ulcers. Intramural hematomas are typically resolved spontaneously with conservative treatment alone. We report a case of an intramural duodenal hematoma following endoscopic hemostasis with epinephrine injection therapy, which was associated with transient obstructive jaundice in a patient undergoing hemodialysis. The patient developed biliary sepsis due to obstruction of the common bile duct secondary to the huge hematoma. He was treated with fluoroscopy-guided drainage catheter insertion, which spontaneously resolved the biliary sepsis through conservative treatment in 6 weeks. Fluoroscopy-guided drainage may impact the treatment of intramural hematomas that involve life-threatening complications.
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KEYWORD
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Duodenal ulcer, Hematoma, Cholestasis, Drainage
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