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Spontaneous intramural duodenal hematoma in a young woman


Authors: P. Vrbová;  Koller T.
Authors‘ workplace: V. interná klinika LF UK a UN Bratislava
Published in: Gastroent Hepatol 2021; 75(6): 535-538
Category:
doi: https://doi.org/10.48095/ccgh2021535

Overview

Non-traumatic spontaneous intramural duodenal hematoma is a rare cause of proximal gastrointestinal obstruction which may present with hemorrhage, jaundice and pancreatitis. In this case report we present a case of spontaneous duodenal hematoma in a 28-year-old female with a history of acute pancreatitis, admitted to hospital for convulsive upper abdominal pain with vomiting as suspected pancreatitis. An MRI examination of the abdomen confirmed intraluminal bleeding into the duodenum. Following supportive therapy the clinical symptoms spontaneously subsided and laboratory parameters improved. Due to early dia­gnosis and therapy the patient had a good outcome, without requiring surgery. Repeated imaging showed hematoma resorption.

Keywords:

Hemorrhage – Abdominal pain – vomitus – duodenal hematoma


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Labels
Paediatric gastroenterology Gastroenterology and hepatology Surgery

Article was published in

Gastroenterology and Hepatology

Issue 6

2021 Issue 6

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