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自发性十二指肠壁内血肿:胰腺炎的一种罕见并发症。

Spontaneous Intramural Duodenal Hematoma: A Rare Complication of Pancreatitis.

作者信息

Kumar Ravi, Athwal Pal Satyajit Singh, Kumar Mukesh, Devi Kanchan, Kahlon Sukhmanii

机构信息

Internal Medicine, Jinnah Sindh Medical University, Karachi, PAK.

Internal Medicine, Saraswathi Institute of Medical Sciences, Hapur, IND.

出版信息

Cureus. 2020 Jun 7;12(6):e8491. doi: 10.7759/cureus.8491.

DOI:10.7759/cureus.8491
PMID:32656009
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7343314/
Abstract

Intramural duodenal hematoma is an uncommon entity, usually associated with trauma. Spontaneous intramural duodenal hematoma is an even more rare phenomenon reported in patients with anticoagulation therapy, gastrointestinal endoscopy procedure or coagulopathy. We report a case of spontaneous intramural duodenal hematoma in a 30-year-old male as a pancreatitis complication, very few cases have been known in the past and still a lot is to be discovered about this rare hematoma associated with pancreatitis. This condition can have catastrophic consequences and should be managed appropriately.

摘要

十二指肠壁内血肿是一种罕见的病症,通常与外伤有关。自发性十二指肠壁内血肿是一种更为罕见的现象,多见于接受抗凝治疗、进行胃肠内镜检查或患有凝血病的患者。我们报告一例30岁男性自发性十二指肠壁内血肿,该血肿为胰腺炎并发症,过去已知病例极少,关于这种与胰腺炎相关的罕见血肿仍有许多有待发现之处。这种情况可能会产生灾难性后果,应进行适当处理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e95/7343314/a5f9acdae924/cureus-0012-00000008491-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e95/7343314/a5f9acdae924/cureus-0012-00000008491-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e95/7343314/a5f9acdae924/cureus-0012-00000008491-i01.jpg

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3
Endoscopic management of intramural spontaneous duodenal hematoma: A case report.内镜治疗壁内自发性十二指肠血肿:病例报告。

本文引用的文献

1
Angiographic embolization is an effective treatment of severe hemorrhage in pancreatitis.血管造影栓塞术是治疗胰腺炎严重出血的有效方法。
Pancreas. 2014 Apr;43(3):436-9. doi: 10.1097/MPA.0000000000000051.
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A case of spontaneous intramural duodenal hematoma in a young African man: Imaging findings.一名年轻非洲男性自发性十二指肠壁内血肿病例:影像学表现
Radiol Case Rep. 2021 Apr 30;16(7):1675-1678. doi: 10.1016/j.radcr.2021.03.070. eCollection 2021 Jul.
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Hepatogastroenterology. 2003 Sep-Oct;50(53):1689-92.
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