Pancreatic-induced Intramural Duodenal Haematoma

Julius, Katharina; Ng, Kelvin K.; Poon, Ronnie T. P.; Fan, Sheung Tat

doi:10.1016/s1015-9584(08)60063-9

Cited by 25 publications

(25 citation statements)

References 9 publications

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“…In humans, blunt abdominal trauma is the most common cause for intramural duodenal hematomas . Pancreatic disease, anticoagulant therapy, blood dyscrasias, platelet dysfunction, and per oral endoscopic small bowel biopsy have also been implicated as predisposing factors. In humans, the incidence of intramural hematomas is higher at the duodenum as compared to other parts of the gastrointestinal tract .…”

Section: Discussionmentioning

confidence: 99%

Small Intestinal Intramural Hematoma Secondary to a Migrating Wire Foreign Body in a Dog

Padalkar¹,

Savage²,

Cohen

2017

Vet Radiology Ultrasound

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A 12-year-old spayed female Labrador retriever was presented for a 5-day history of vomiting and inappetence. Radiographic findings included poor peritoneal serosal contrast, segmental small intestinal dilation, and multiple linear, metal opaque, intestinal and peritoneal wire foreign bodies. Sonographic findings included septated, hypoechoic, mural expansion of the distal duodenum and jejunum; and an intramural, thin, linear hyperechogenicity with distal acoustic shadowing consistent with a foreign body. Exploratory laparotomy was performed with resection of the affected distal duodenum and proximal jejunum. Histopathology of the excised segment confirmed an intramural hematoma. This case represents an uncommon complication of migrating wire foreign bodies.

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Section: Discussionmentioning

confidence: 99%

Small Intestinal Intramural Hematoma Secondary to a Migrating Wire Foreign Body in a Dog

Padalkar¹,

Savage²,

Cohen

2017

Vet Radiology Ultrasound

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“…In adults this condition has been described in patients who had risk factors like history of abdominal trauma [1], aspirin [2], or warfarin [3] intake, had undergone some endoscopic intervention [4] or in association with pancreatitis [5]. In our case we could not find the cause of IDH as patient did not have bleeding disorder or other risk factors for IDH.…”

Section: Discussionmentioning

confidence: 63%

A Rare Cause of Acute Pancreatitis: Intramural Duodenal Hematoma

Goyal

Singla

Agrawal

2012

Case Reports in Gastrointestinal Medicine

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We describe an interesting case of intramural duodenal hematoma in an otherwise healthy male who presented to emergency room with gradually progressive abdominal pain, nausea, and vomiting. This condition was missed on initial evaluation and patient was discharged from emergency room with diagnosis of acute gastritis. After 3 days, patient came back to emergency room and abdominal imaging studies were conducted which showed that patient had intramural duodenal hematoma associated with gastric outlet obstruction and pancreatitis. Hematoma was the cause of acute pancreatitis as pancreatic enzymes levels were normal at the time of first presentation, but later as the hematoma grew in size, it caused compression of pancreas and subsequent elevation of pancreatic enzymes. We experienced a case of pancreatitis which was caused by intramural duodenal hematoma. This case was missed on initial evaluation. We suggest that physicians should be more vigilant about this condition.

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“…Considered a life-threatening complication, intramural duodenal hematoma is most commonly observed after abdominal trauma, endoscopic sclerotherapy, duodenal biopsies, or coagulopathy; however, it may be observed in the course of acute pancreatitis, and is frequently associated with impaired gastric emptying, duodenal perforation, and sepsis 17. Few cases of duodenal hematoma secondary to pancreatitis have been reported and its origin may be caused by pancreatic enzyme injury against duodenal vessels 18…”

Section: Discussionmentioning

confidence: 99%

Unusual tomographic findings of complicated necrotizing pancreatitis

Sigrist¹,

Gomes²,

Possagnolo³

et al. 2013

ACR

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Acute pancreatitis (AP) is a potential life-threatening disease, which originates from inflammatory involvement of the pancreas and surrounding tissues. Serious complications eventuate and treatment is difficult. AP is classified in both interstitial edematous pancreatitis, which occurs in 70-80% of patients, and necrotizing pancreatitis, which occurs in 20-30% of patients. Diagnosis is based on the presence of two of the following criteria: abdominal pain, increased serum determination of amylase and/or lipase more than three times the reference value, and characteristic tomographic findings. Among the latter, there is the pancreatic and surrounding tissue damage as well as that related to distant organ involvement. This case report shows the fatal case of a male patient with a history of heavy alcoholic abuse admitted with the diagnosis of necrotizing pancreatitis. The authors call attention to the unusual tomographic findings; namely, a huge duodenal hematoma and a large hemoperitoneum, ischemic involvement of the spleen and kidneys, as well as pancreatic and peripancreatic necrosis.

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Pancreatic-induced Intramural Duodenal Haematoma

Cited by 25 publications

References 9 publications

Small Intestinal Intramural Hematoma Secondary to a Migrating Wire Foreign Body in a Dog

Small Intestinal Intramural Hematoma Secondary to a Migrating Wire Foreign Body in a Dog

A Rare Cause of Acute Pancreatitis: Intramural Duodenal Hematoma

Unusual tomographic findings of complicated necrotizing pancreatitis

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