Intramural duodenal hematoma secondary to pancreatitis: case report and review of the literature
| Autor: | Everton Cazzo, Elinton Adami Chaim, João Henrique Botto de Oliveira, Lucas Marcelo Dias Freire, Francisco Callejas-Neto, Raiza Samenica Esper, Flora Specian Sartori, Rodrigo Campos Ocariz |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Male
Duodenal diseases medicine.medical_specialty Abdominal pain Duodenum medicine.medical_treatment Perforation (oil well) lcsh:Medicine 03 medical and health sciences 0302 clinical medicine Hematoma Melena Laparotomy medicine Humans Endoscopy Digestive System Duodenal Diseases Embolization therapeutic business.industry lcsh:R General Medicine Middle Aged medicine.disease Embolization Therapeutic Surgery medicine.anatomical_structure surgical procedures operative Pancreatitis 030220 oncology & carcinogenesis Acute Disease Chronic Disease 030211 gastroenterology & hepatology medicine.symptom Gastrointestinal Hemorrhage Tomography X-Ray Computed business |
| Zdroj: | Sao Paulo Medical Journal, Issue: ahead, Published: 07 DEC 2017 São Paulo Medical Journal, Iss 0 (2017) |
| Popis: | CONTEXT: Spontaneous intramural duodenal hematoma is uncommon and is usually associated with coagulopathy, anticoagulant therapy and endoscopic procedures. The aim here was to describe a case of intramural duodenal hematoma caused by chronic exacerbation of pancreatitis. CASE REPORT: A 46-year-old male with chronic alcoholic pancreatitis was admitted to hospital due to abdominal pain, melena and low hemoglobin. An intramural duodenal hematoma with active bleeding was detected and selective angioembolization was warranted. The patient evolved with a perforated duodenum and underwent laparotomy with exclusion of the pylorus and Roux-en-Y gastrojejunostomy. He was discharged nine days later. CONCLUSION: Intramural duodenal hematoma is a rare complication of pancreatitis. Selective embolization is the preferred treatment for hemorrhagic complications of pancreatitis. However, the risk of visceral ischemia and perforation should be considered. |
| Databáze: | OpenAIRE |
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