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십이지장 궤양 출혈의 내시경 지혈술 후 발생한 급성 췌장염 동반의 십이지장 벽내 혈종 1예
송민근 ( Min Keun Song ),신준범 ( Joon Beom Shin ),박하나 ( Ha Na Park ),김은진 ( Eun Jin Kim ),정기천 ( Ki Cheun Jeong ),김동환 ( Dong Hwan Kim ),정재복 ( Jae Bock Chung ),김도영 ( Do Young Kim ) 대한소화기학회 2009 대한소화기학회지 Vol.53 No.5
Intramural duodenal hematoma is an uncommon condition, which usually develops after blunt abdominal trauma. It is also reported as a complication of anticoagulant therapy, blood dyscrasia, pancreatic disease, and diagnostic and therapeutic endoscopy. The typical clinical pictures of intramural duodenal hematoma consist of upper abdominal pain, vomiting, fever, and hematochezia, and it is rarely accompanied by intestinal obstruction, peritonitis, and pancreatitis as its complication. We report a case of intramural duodenal hematoma extended to peritoneal cavity, and accompanied by acute pancreatitis following therapeutic endoscopy for duodenal ulcer bleeding in a 32-year-old man who was on maintenance of anti-coagulation therapy after valvular heart surgery. (Korean J Gastroenterol 2009;53:311-314)