간경변 환자에서 위궤양 출혈의 에피네프린 주입술 후 발생한 위벽 내 혈종 1예 |
정형철ㆍ김태현ㆍ정진수ㆍ김태현ㆍ양봉준ㆍ오효정ㆍ손영우 |
원광대학교 의과대학 원광대학병원 내과학교실 |
An Intramural Gastric Hematoma after Epinephrine Injection for Gastric Ulcer Bleeding in Patient with Liver Cirrhosis |
Hyeong Cheol Cheong, M.D., Tae Hyeon Kim, M.D., Jin Soo Chung, M.D., Tae Hyun Kim, M.D., Bong Jun Yang, M.D., Hyo Jung Oh, M.D. and Yong Woo Sohn, M.D. |
Department of Internal Medicine, Wonkwang University Hospital, Wonkwang University College of Medicine, Iksan, Korea |
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Abstract |
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Intramural hematoma of the gastrointestinal tract is an uncommon occurrence with the majority being localized to the esophagus or duodenum. Hematoma of the gastric wall is very rare, and has been reported most commonly in association with coagulopathy, trauma, hematologic disease, and therapeutic endoscopy. Here we describe a case of intramural gastric hematoma after epinephrine injection therapy for a gastric ulcer with underlying liver cirrhosis that was successfully managed with conservative therapy. (Korean J Gastrointest Endosc 2010;40:366-369) |
Key Words:
Gastric intramural hematoma, Liver cirrhosis, Endoscopic hemostasis |
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