Huge Intramural Duodenal Hematoma Complicated with Obstructive Jaundice following Endoscopic Hemostasis / 대한소화기학회지
The Korean Journal of Gastroenterology
;
: 39-44, 2019.
Artigo
em Inglês
| 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.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Úlcera Péptica
/
Epinefrina
/
Drenagem
/
Colestase
/
Diálise Renal
/
Hemostase Endoscópica
/
Ducto Colédoco
/
Sepse
/
Icterícia Obstrutiva
/
Úlcera Duodenal
Limite:
Humanos
Idioma:
Inglês
Revista:
The Korean Journal of Gastroenterology
Ano de publicação:
2019
Tipo de documento:
Artigo
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