Spontaneous intramural duodenal hematoma in a young woman

Česká verzia

Authors: P. Vrbová ; Koller T.
Authors place of work: V. interná klinika LF UK a UN Bratislava
Published in the journal: Gastroent Hepatol 2021; 75(6): 535-538
Category:
doi: https://doi.org/10.48095/ccgh2021535

Summary

Non-traumatic spontaneous intramural duodenal hematoma is a rare cause of proximal gastrointestinal obstruction which may present with hemorrhage, jaundice and pancreatitis. In this case report we present a case of spontaneous duodenal hematoma in a 28-year-old female with a history of acute pancreatitis, admitted to hospital for convulsive upper abdominal pain with vomiting as suspected pancreatitis. An MRI examination of the abdomen confirmed intraluminal bleeding into the duodenum. Following supportive therapy the clinical symptoms spontaneously subsided and laboratory parameters improved. Due to early diagnosis and therapy the patient had a good outcome, without requiring surgery. Repeated imaging showed hematoma resorption.

Keywords:

Hemorrhage – Abdominal pain – vomitus – duodenal hematoma

Zdroje

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