Korean J Gastrointest Endosc.  2008 Sep;37(3):207-211.

A Case of Duodenal Intramural Hematoma Complicated with Chronic Pancreatitis

• Park BD
• Lee DH
• Jeong S
• Lee JI
• Lee JW
• Kim HG
• Shin YW
• Kim YS

Abstract

The majority of cases of duodenal intramural hematoma occur in children due to blunt abdominal trauma. In adult patients, the etiology of hematoma is quite varied. A hematoma may occur due to the usage of anticoagulants, hemophilia, Henoch-Schonlein purpura, vasculitis, pancreatic disease, endoscopic coagulation of duodenal ulcer bleeding and following an endoscopic retrograde cholangiopancreatogram. A 53-year-old male patient was admitted for hematemesis. The patient was a heavy alcoholic and had a history of chronic pancreatitis, but there was no definite trauma history or other medical illness. In the duodenal second portion, a huge submucosal mass obstructed the lumen with submucosal hemorrhage. As depicted on an abdominal CT and an endoscopic ultrasonogram, chronic pancreatitis and a duodenal submucosal tumor was suspected. On the eighth hospital day, abdominal pain suddenly became worse and peritoneal-irritation signs were observed. Therefore, a surgical procedure was urgently performed. Considering the rarity of its etiology in Korea, we report a case of duodenal intramural hematoma complicated with chronic pancreatitis.

Keyword

Duodenal hematoma; Pancreatitis

MeSH Terms

Abdominal Pain
Adult
Alcoholics
Anticoagulants
Child
Duodenal Ulcer
Hematemesis
Hematoma
Hemophilia A
Hemorrhage
Humans
Korea
Male
Middle Aged
Pancreatic Diseases
Pancreatitis
Pancreatitis, Chronic
Purpura, Schoenlein-Henoch
Vasculitis
Anticoagulants