Korean J Gastrointest Endosc > Volume 37(3); 2008 > Article
Korean Journal of Gastrointestinal Endoscopy 2008;37(3): 207-211.
만성 췌장염의 합병증으로 발생한 십이지장 벽내혈종 1예
인하대학교 의과대학 내과학교실
A Case of Duodenal Intramural Hematoma Complicated with Chronic Pancreatitis
Byoung Do Park, M.D., Don Haeng Lee, M.D., Seok Jeong, M.D., Jung Il Lee, M.D., Jin Woo Lee, M.D., Hyung Gil Kim, M.D., Yong Woon Shin, M.D. and Yong Soo Kim, M.D.
Department of Internal Medicine, Inha University College of Medicine, Incheon, Korea
The majority of cases of duodenal intramural hematoma occur in children due to blunt abdominal trauma. In adult patients, the etiology of hematoma is quite varied. A hematoma may occur due to the usage of anticoagulants, hemophilia, Henoch-Schonlein purpura, vasculitis, pancreatic disease, endoscopic coagulation of duodenal ulcer bleeding and following an endoscopic retrograde cholangiopancreatogram. A 53-year-old male patient was admitted for hematemesis. The patient was a heavy alcoholic and had a history of chronic pancreatitis, but there was no definite trauma history or other medical illness. In the duodenal second portion, a huge submucosal mass obstructed the lumen with submucosal hemorrhage. As depicted on an abdominal CT and an endoscopic ultrasonogram, chronic pancreatitis and a duodenal submucosal tumor was suspected. On the eighth hospital day, abdominal pain suddenly became worse and peritoneal-irritation signs were observed. Therefore, a surgical procedure was urgently performed. Considering the rarity of its etiology in Korea, we report a case of duodenal intramural hematoma complicated with chronic pancreatitis. (Korean J Gastrointest Endosc 2008;37:207-211)
Key Words: Duodenal hematoma, Pancreatitis
주요어: 십이지장 혈종, 췌장염
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