Intraduodenal hematoma complicating intestinal biopsy Case reports and review of the literature

Abstract

We report two cases of postbiopsy duodenal hematoma and review 14 additional cases. Duodenal hematoma predominantly occurs in children and presents with abdominal pain, vomiting, and pancreatitis. Upper gastrointestinal series, abdominal ultrasound, and CT scan are useful in visualizing the hematoma. No comparative studies of the usefulness of these techniques are available, but a CT is indicated if perforation is suspected. The treatment is conservative if no perforation is detected, and resolution of symptoms generally occurs within 2 wk.

Duodenal Hematoma After Esophagogastroduodenoscopy: Case Report

“…Ancak ampulla vateri tıkanıklığı gelişirse serum amilaz, lipaz, GGT ve bilirubin değerlerinde artış meydana gelmektedir. 2,3,11 Olgumuzun hemoglobin değe-rinde kan transfüzyonu gerektirmeyecek hafif bir düşüş olurken, serum lipaz, GGT, bilirubin değer-lerinde artış olmamıştır.…”

“…Cerrahi tedavi perforasyon, fistül oluşumu ve safra veya pankreatik kanallara bası durumunda uygulanabilmektedir. 2,17,18 Ulaş Emre AKBULUT ve ark.…”

Abdominal ultrasonography of the pediatric gastrointestinal tract

“…If there is no history of trauma, there is a high association with child abuse and additional imaging is warranted ( Figure 3). Hematomas may also result from endoscopic biopsy of the duodenum or in children with bleeding disorders [50][51][52] . Once identified, the hematoma can persist for at least two weeks, typically resolving by 6 wk.…”

“…Once identified, the hematoma can persist for at least two weeks, typically resolving by 6 wk. On ultrasound, duodenal intramural hematomas appear as a heterogeneous, nonvascularized mass along the course of the duodenum, which can obstruct the duodenal lumen and/or the common bile duct [50][51][52] . During resolution, the hematoma becomes cystic.…”

Duodenal Hematoma and Pancreatitis Complicating Endoscopic Intestinal Biopsy in a Boy with Noonan Syndrome

“…It can be a complication of duodenal biopsy, especially in patients with predisposing hemorrhagic diathesis [3,4] and can determine secondary pancreatitis because of ampullary hematoma [1,2,[5][6][7].…”