
Endoscopic management of intramural spontaneous duodenal hematoma: A case report
Author(s) -
Giorgio Valerii,
V.M. Ormando,
Carlo Cellini,
L. Sacco,
C. Barbera
Publication year - 2022
Publication title -
world journal of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.427
H-Index - 155
eISSN - 2219-2840
pISSN - 1007-9327
DOI - 10.3748/wjg.v28.i20.2243
Subject(s) - medicine , stent , hematoma , endoscopy , surgery , lumen (anatomy) , gastric outlet obstruction , duodenum , abdominal pain , blunt , radiology
Intramural duodenal hematoma is a rare condition described for the first time in 1838. This condition is usually associated with blunt abdominal trauma in children. Other non-traumatic risk factors for spontaneous duodenal haematoma include several pancreatic diseases, coagulation disorders, malignancy, collagenosis, peptic ulcers, vasculitis and upper endoscopy procedures. In adults the most common risk factor reported is anticoagulation therapy. The clinical presentation may vary from mild abdominal pain to acute abdomen and intestinal obstruction or gastrointestinal bleeding.