Dhawan Vivek, Mohamed Ahmed, Fedorak Richard N
University of Alberta, Edmonton, Alberta, Canada.
Can J Gastroenterol. 2009 Jan;23(1):19-22. doi: 10.1155/2009/503129.
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 described most commonly in association with coagulopathy, peptic ulcer disease, trauma, and amyloid-associated microaneurysms. A case of massive gastric intramural hematoma, secondary to anticoagulation therapy, and a gastric ulcer that was successfully managed with conservative therapy, is presented. A literature review of previously reported cases of gastric hematoma is also provided.
胃肠道壁内血肿是一种罕见的病症,大多数局限于食管或十二指肠。胃壁血肿非常罕见,最常见于与凝血病、消化性溃疡病、创伤以及淀粉样变性相关的微动脉瘤。本文报告一例因抗凝治疗继发的巨大胃壁内血肿以及经保守治疗成功治愈的胃溃疡病例。此外,还对先前报道的胃血肿病例进行了文献综述。