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Intramuralt duodenalt hæmatom efter endoskopisk injektionsterapi af blødende ulcus

Forfatter(e)

Ditte Smed Iversen1, 3, Stephen Cannon2, 3 & Ole K. Bonderup1, 3

1) Diagnostisk Center, Gastroenterologisk Sektion, Regionshospitalet Silkeborg 2) Diagnostisk Center, Radiologisk Sektion, Regionshospitalet Silkeborg. 3) Universitetsklinik for Innovative Patientforløb, Aarhus Universitet Ugeskr Læger 2018;180:V03180174

Reference: 
Ugeskr Læger 2018;180:V03180174
Sidetal: 
2-3
Intramural duodenal haematoma after endoscopic injection therapy of a bleeding ulcer

In this case report a 48-year-old man presented with nausea and abdominal pain. Ten days prior he had been treated with an endoscopic epinephrine/saline injection for haemostasis of a bleeding duodenal ulcer and was discharged the following day. At readmission, an abdominal CT revealed severe gastric distention and a gastroscopy showed total duodenal obstruction. Subsequent post-contrast CT revealed that a massive intramural duodenal haematoma was the cause of the total duodenal occlusion. Also, acute pancreatitis was seen. The treatment was conservative, and follow-up gastroscopy showed total resolution of the haematoma.

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