Acute Duodenal Ischemia and Periampullary Intramural Hematoma after an Uneventful Endoscopic Retrograde Cholangiopancreatography in a Patient with Primary Myelofibrosis
Clinical Endoscopy
;
: 270-274, 2014.
Artigo
em Inglês
| WPRIM
| ID: wpr-193050
ABSTRACT
Acute duodenal ischemia and periampullary intramural hematoma are rare complications after endoscopic retrograde cholangiopancreatography (ERCP). A 77-year-old man with splenomegaly complained of abdominal pain caused by common bile duct (CBD) stone. After successful removal of the CBD stone without immediate complications, the patient developed intramural hematoma around the ampulla of Vater along with diffuse duodenal edema. The findings were compatible with acute intestinal ischemia, and further evaluation revealed that he had underlying primary myelofibrosis. Myeloproliferative diseases are known to be significantly associated with an increased risk of thrombohemorrhagic complications. Therefore, particular attention should be given to this group of patients when a high-risk procedure such as ERCP is performed.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Esplenomegalia
/
Ampola Hepatopancreática
/
Dor Abdominal
/
Colangiopancreatografia Retrógrada Endoscópica
/
Ducto Colédoco
/
Edema
/
Mielofibrose Primária
/
Hematoma
/
Isquemia
Limite:
Idoso
/
Humanos
Idioma:
Inglês
Revista:
Clinical Endoscopy
Ano de publicação:
2014
Tipo de documento:
Artigo
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