Amankwa Adu Tutu, De Graft-Johnson Esi, Twum Kwasi Adjepong, Ankomah Kwasi
Department of Radiology, Komfo Anokye Teaching Hospital, Kumasi, Ghana.
School of Medicine and Dentistry Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Radiol Case Rep. 2021 Apr 30;16(7):1675-1678. doi: 10.1016/j.radcr.2021.03.070. eCollection 2021 Jul.
Intramural duodenal hematoma has been reported as a rare condition first described by McLauchlan in 1838. It is now thought to be an uncommon condition due to the increase in the number of reported cases in the medical literature. It has been reported to usually occur secondary to blunt trauma mainly in young men and children, with 82% of the patients being younger than 30 years. Association between spontaneous intramural duodenal hematoma and coagulopathy, coagulating drugs, endoscopic procedures, acute pancreatitis, and pancreatic malignancy has been made. We present the case of a 35-year-old African male lumberjack with no known previous history of trauma, risk factors, or associated predisposing condition that presented to our facility with acute abdominal pain and vomiting and diagnosed as spontaneous intramural duodenal haematoma on CT scan and MR imaging with a complete resolution on conservative management.
壁内十二指肠血肿是一种罕见疾病，最早由麦克劳克兰于1838年描述。由于医学文献中报道病例数量的增加，现在认为它是一种不常见的疾病。据报道，它通常继发于钝性创伤，主要发生在年轻男性和儿童中，82%的患者年龄小于30岁。自发性壁内十二指肠血肿与凝血病、凝血药物、内镜操作、急性胰腺炎和胰腺恶性肿瘤之间存在关联。我们报告了一例35岁的非洲男性伐木工病例，该患者既往无已知创伤史、危险因素或相关易患疾病，因急性腹痛和呕吐前来我院就诊，经CT扫描和磁共振成像诊断为自发性壁内十二指肠血肿，经保守治疗完全缓解。
