Korean J Gastrointest Endosc > Volume 30(2); 2005 > Article
Korean Journal of Gastrointestinal Endoscopy 2005;30(2): 91-94.
특발성 십이지장 벽내 혈종 1예
고려대학교 의과대학 내과학교실, 소화기연구소
A Case of Idiopathic Duodenal Intramural Hematoma
Chang Won Baeck, M.D., Hoon Jai Chun, M.D., Hwang Rae Chun, M.D., Sang Kyun Yu, M.D., Yong Sik Kim, M.D., Yoon Tae Jeen, M.D., Soon Ho Um, M.D., Chang Duck Kim, M.D., Ho Sang Ryu, M.D. and Jin Hai Hyun, M.D.
Department of Internal Medicine, Institute of Digestive Disease and Nutrition, Korea University College of Medicine, Seoul, Korea
Duodenal intramural hematoma is mostly caused by blunt abdominal trauma. Spontaneous duodenal intramural hematoma has been reported in the literature in patients with over-anticoagulation and coagulation disorders. The presentation of patients can vary from mild and vague abdominal pain to intestinal tract obstruction and an acute abdomen. The diagnosis is evident by gastroduodenal endoscopy, EUS and abdominal CT scan. We report a case of spontaneous duodenal intramural hematoma without the history of abdominal trauma and coagulation disorders in 54-year-old male patient. After conservative treatment, the patient was discharged without any complications. (Korean J Gastrointest Endosc 2005;30:91⁣94)
Key Words: Idiopathic, Intramural hematoma, Duodenum
주요어: 특발성, 십이지장, 벽내 혈종
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