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KMID : 0985520160210010050
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Korean Journal of Pancreas and Biliary Tract
2016 Volume.21 No. 1 p.50 ~ p.54
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Acute Cholecystitis and Obstructive Jaundice by Nontraumatic Duodenal Intramural Hematoma at Ampulla of Vater
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안대선:Ahn Dae-Seon
김성훈:Kim Seong-Hun/윤지영:Yoon Ji-Young/장진원:Jang Jin-Won/전형구:Chon Hyung-Ku/김인희:Kim In-Hee/김상욱:Kim Sang-Wook/이승옥:Lee Seong-Ok
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Abstract
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Nontraumatic spontaneous intramural hematoma is an infrequent complication of the use of oral anticoagulants. The most commonly affected site is the jejunum followed by ileum and duodenum. The symptoms can vary depending on the location and size of hematoma. Patients with intramural hematoma usually present with abdominal pain, nausea and vomiting, but rarely present with hematuria, pancreatitis, cholangitis. An obstructive jaundice and acute cholecystitis has not been reported as a secondary cause of duodenal intramural hematoma in Korea so far. Here, we report spontaneous duodenal intramural hematoma caused by anticoagulant therapy that associated with transient obstructive jaundice and acute cholecystitis in a 79-year-old man, which was successfully managed conservative management. In addition, we reviewed reports of intramural hematoma with literature review.
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KEYWORD
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Anticoagulants, Hematoma, Duodenum, Cholecystitis, Obstructive jaundice
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