Lukman Mohd Rashid, Jasmi Ali Yaakub, Niza S Shahrun
Department of Surgery, Faculty of Medicine, Hospital Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
Asian J Surg. 2006 Apr;29(2):98-100. doi: 10.1016/S1015-9584(09)60116-0.
Intramural duodenal haematoma is a rare injury of the duodenum. Most reported cases are secondary to blunt trauma to the abdomen. Such injury following endoscopic intervention is even rarer, and there are no definite guidelines for its management. We report a case where endoscopic haemostasis of a bleeding duodenal ulcer resulted in a massive dissecting intramural duodenal haematoma with gastric outlet obstruction and obstructive jaundice.
十二指肠壁内血肿是一种罕见的十二指肠损伤。大多数报道的病例继发于腹部钝性创伤。内镜干预后发生这种损伤更为罕见，且对于其治疗尚无明确的指导方针。我们报告一例因十二指肠溃疡出血行内镜止血后导致巨大的壁内剥离性十二指肠血肿，并伴有胃出口梗阻和梗阻性黄疸的病例。
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