Huge Intramural Duodenal Hematoma Complicated with Obstructive Jaundice following Endoscopic Hemostasis / 대한소화기학회지
The Korean Journal of Gastroenterology
;
: 39-44, 2019.
Article
in English
| WPRIM
| ID: wpr-719436
ABSTRACT
Intramural hematoma of the duodenum is a relatively unusual complication associated with the endoscopic treatment of bleeding peptic ulcers. Intramural hematomas are typically resolved spontaneously with conservative treatment alone. We report a case of an intramural duodenal hematoma following endoscopic hemostasis with epinephrine injection therapy, which was associated with transient obstructive jaundice in a patient undergoing hemodialysis. The patient developed biliary sepsis due to obstruction of the common bile duct secondary to the huge hematoma. He was treated with fluoroscopy-guided drainage catheter insertion, which spontaneously resolved the biliary sepsis through conservative treatment in 6 weeks. Fluoroscopy-guided drainage may impact the treatment of intramural hematomas that involve life-threatening complications.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Peptic Ulcer
/
Epinephrine
/
Drainage
/
Cholestasis
/
Renal Dialysis
/
Hemostasis, Endoscopic
/
Common Bile Duct
/
Sepsis
/
Jaundice, Obstructive
/
Duodenal Ulcer
Limits:
Humans
Language:
English
Journal:
The Korean Journal of Gastroenterology
Year:
2019
Type:
Article
Similar
MEDLINE
...
LILACS
LIS