Chung Sungjin, Park Cheol Whee, Chung Hyun Wha, Shin Seok Joon, Chang Yoon Sik
Division of Nephrology, St. Mary's Hospital, The Catholic University of Korea, 62 Yeouido-dong, Yeongdeungpo-gu, Seoul 150-713, Republic of Korea.
Cases J. 2009 Nov 24;2:9083. doi: 10.1186/1757-1626-2-9083.
An intramural duodenal hematoma is a rare but recognized complication that usually develops after abdominal trauma, predominantly in children and young adults.
We report the case of a patient that developed an intramural duodenal hematoma after endoscopic treatment for a bleeding ulcer who also was undergoing conventional hemodialysis for chronic renal failure associated with lupus nephritis. A hemoperitoneum and near-total duodenal obstruction developed but spontaneously resolved with conservative treatment.
Clinicians should be aware of such possible complications after endoscopic hemostasis in patients with coagulation disorders.