Intramural duodenal hematoma secondary to pancreatitis: case report and review of the literature
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , , , , , |
Tipo de documento: | Relatório |
Idioma: | eng |
Título da fonte: | São Paulo medical journal (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802018000600597 |
Resumo: | ABSTRACT 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. |
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Intramural duodenal hematoma secondary to pancreatitis: case report and review of the literaturePancreatitisDuodenumHematomaEmbolization, therapeuticDuodenal diseasesABSTRACT 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.Associação Paulista de Medicina - APM2018-12-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802018000600597Sao Paulo Medical Journal v.136 n.6 2018reponame:São Paulo medical journal (Online)instname:Associação Paulista de Medicinainstacron:APM10.1590/1516-3180.2017.0134290517info:eu-repo/semantics/openAccessOliveira,João Henrique Botto deEsper,Raiza SamenicaOcariz,Rodrigo CamposSartori,Flora SpecianFreire,Lucas Marcelo DiasChaim,Elinton AdamiCallejas-Neto,FranciscoCazzo,Evertoneng2019-03-13T00:00:00Zoai:scielo:S1516-31802018000600597Revistahttp://www.scielo.br/spmjhttps://old.scielo.br/oai/scielo-oai.phprevistas@apm.org.br1806-94601516-3180opendoar:2019-03-13T00:00São Paulo medical journal (Online) - Associação Paulista de Medicinafalse |
dc.title.none.fl_str_mv |
Intramural duodenal hematoma secondary to pancreatitis: case report and review of the literature |
title |
Intramural duodenal hematoma secondary to pancreatitis: case report and review of the literature |
spellingShingle |
Intramural duodenal hematoma secondary to pancreatitis: case report and review of the literature Oliveira,João Henrique Botto de Pancreatitis Duodenum Hematoma Embolization, therapeutic Duodenal diseases |
title_short |
Intramural duodenal hematoma secondary to pancreatitis: case report and review of the literature |
title_full |
Intramural duodenal hematoma secondary to pancreatitis: case report and review of the literature |
title_fullStr |
Intramural duodenal hematoma secondary to pancreatitis: case report and review of the literature |
title_full_unstemmed |
Intramural duodenal hematoma secondary to pancreatitis: case report and review of the literature |
title_sort |
Intramural duodenal hematoma secondary to pancreatitis: case report and review of the literature |
author |
Oliveira,João Henrique Botto de |
author_facet |
Oliveira,João Henrique Botto de Esper,Raiza Samenica Ocariz,Rodrigo Campos Sartori,Flora Specian Freire,Lucas Marcelo Dias Chaim,Elinton Adami Callejas-Neto,Francisco Cazzo,Everton |
author_role |
author |
author2 |
Esper,Raiza Samenica Ocariz,Rodrigo Campos Sartori,Flora Specian Freire,Lucas Marcelo Dias Chaim,Elinton Adami Callejas-Neto,Francisco Cazzo,Everton |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Oliveira,João Henrique Botto de Esper,Raiza Samenica Ocariz,Rodrigo Campos Sartori,Flora Specian Freire,Lucas Marcelo Dias Chaim,Elinton Adami Callejas-Neto,Francisco Cazzo,Everton |
dc.subject.por.fl_str_mv |
Pancreatitis Duodenum Hematoma Embolization, therapeutic Duodenal diseases |
topic |
Pancreatitis Duodenum Hematoma Embolization, therapeutic Duodenal diseases |
description |
ABSTRACT 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. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-12-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/report |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
report |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802018000600597 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802018000600597 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/1516-3180.2017.0134290517 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Associação Paulista de Medicina - APM |
publisher.none.fl_str_mv |
Associação Paulista de Medicina - APM |
dc.source.none.fl_str_mv |
Sao Paulo Medical Journal v.136 n.6 2018 reponame:São Paulo medical journal (Online) instname:Associação Paulista de Medicina instacron:APM |
instname_str |
Associação Paulista de Medicina |
instacron_str |
APM |
institution |
APM |
reponame_str |
São Paulo medical journal (Online) |
collection |
São Paulo medical journal (Online) |
repository.name.fl_str_mv |
São Paulo medical journal (Online) - Associação Paulista de Medicina |
repository.mail.fl_str_mv |
revistas@apm.org.br |
_version_ |
1754209266253692928 |