Article

Nontraumatic intramural hematoma of the duodenum

Clinical Journal of Gastroenterology 04/2012; 3(1):22-24. DOI:10.1007/s12328-009-0133-5 pp.22-24

ABSTRACT We present a case of nontraumatic intramural hematoma of the duodenum. A 77-year-old woman complained of nausea, vomiting,
and abdominal pain during hospitalization. There was no traumatic episode. Laboratory data showed anemia (hemoglobin, 7.7g/dl).
The diagnosis was confirmed by computed tomography (CT), which showed a mixed hyperdense and hypodense mass obstructing the
third portion of the duodenum. The cause was considered to be bleeding tendency caused by an antiplatelet drug. The patient
was treated conservatively and the size of the hematoma was followed on CT. She was able to resume oral feeding 2weeks after
admission.

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Keywords

77-year-old woman
 
abdominal pain
 
antiplatelet drug
 
computed tomography
 
conservatively
 
hematoma
 
hemoglobin
 
hypodense mass
 
nausea
 
nontraumatic intramural hematoma
 
oral
 
traumatic episode
 
vomiting