Obstructive jaundice due to spontaneous duodenal hematoma complicating anticoagulant therapy

2010 ◽  
Vol 48 (08) ◽  
Author(s):  
A Abdel Samie ◽  
R Sun ◽  
U Vöhringer ◽  
L Theilmann
Keyword(s):  
Obstructive Jaundice ◽  
Anticoagulant Therapy ◽  
Duodenal Hematoma

scholarly journals Huge Intramural Duodenal Hematoma Complicated with Obstructive Jaundice following Endoscopic Hemostasis

2019 ◽  
Vol 73 (1) ◽  
pp. 39
Author(s):  
Hak Su Kim ◽  
Hee Kyoung Kim ◽  
Won Hee Kim ◽  
Sung Pyo Hong ◽  
Joo Young Cho
Keyword(s):  
Obstructive Jaundice ◽  
Endoscopic Hemostasis ◽  
Duodenal Hematoma

scholarly journals Intramural Duodenal Hematoma and Hemoperitoneum in Anticoagulant Therapy following Upper Gastrointestinal Endoscopy

2006 ◽  
Vol 15 (6) ◽  
pp. 453-455 ◽  
Author(s):  
Jaw-Yuan Wang ◽  
Cheng-Jen Ma ◽  
Hsiang-Lin Tsai ◽  
Deng-Chyang Wu ◽  
Chiao-Yun Chen ◽  
...  
Keyword(s):  
Anticoagulant Therapy ◽  
Gastrointestinal Endoscopy ◽  
Upper Gastrointestinal Endoscopy ◽  
Duodenal Hematoma ◽  
Upper Gastrointestinal

scholarly journals Spontaneous Intramural Duodenal Hematoma: Pancreatitis, Obstructive Jaundice, and Upper Intestinal Obstruction

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Chalerm Eurboonyanun ◽  
Kulyada Somsap ◽  
Somchai Ruangwannasak ◽  
Anan Sripanaskul
Keyword(s):  
Acute Pancreatitis ◽  
Gastrointestinal Tract ◽  
Obstructive Jaundice ◽  
Intestinal Obstruction ◽  
Gastrointestinal Hemorrhage ◽  
Upper Gastrointestinal Tract ◽  
Upper Gastrointestinal Hemorrhage ◽  
Duodenal Hematoma ◽  
Upper Gastrointestinal

Nontraumatic intramural duodenal hematoma can cause upper gastrointestinal tract obstruction, upper gastrointestinal hemorrhage, jaundice, and pancreatitis and may be present in patients with normal coagulation. However the pathogenesis of the condition and its relationship with acute pancreatitis remain unknown. We present a case of spontaneous intramural duodenal hematoma and a case of successful nonoperative treatments.

scholarly journals Spontaneous intramural hematoma of the duodenum secondary to anticoagulant drug intoxication

2019 ◽  
Vol 147 (11-12) ◽  
pp. 751-754
Author(s):  
Dragan Vasin ◽  
Aleksandra Djuric-Stefanovic
Keyword(s):  
Physical Examination ◽  
Anticoagulant Therapy ◽  
Epigastric Pain ◽  
Intramural Hematoma ◽  
Diagnostic Tools ◽  
Wall Thickening ◽  
Therapeutic Effects ◽  
Post Contrast ◽  
Luminal Narrowing ◽  
Duodenal Hematoma

Introduction. Duodenal hematomas are commonly traumatic, caused by blunt abdominal trauma. Nontraumatic spontaneous intramural hematomas of the duodenum are rare, and in most cases induced by anticoagulant therapy. The diagnosis is based on clinical and biochemical parameters, endoscopy, and radiological examinations. The objective of this report was to present a clinical and radiological presentation of an intramural duodenal hematoma caused by anticoagulant therapy. Case outline. A 43-year-old female was presented with epigastric pain, nausea, hematemesis, and melena. She had a positive medical history of deep venous thrombosis of the pelvis, which was diagnosed the previous month, for which she received oral anticoagulant therapy (coumarin). Physical examination revealed diffuse abdominal tenderness, while laboratory analyses showed markedly elevated international normalized ratio (INR) of prothrombin time (INR > 7), which indicated the anticoagulant intoxication. Computed tomography (CT) showed luminal narrowing with uniform circumferential wall thickening of the descendent and horizontal part of duodenum, which was hyper dense in the native series and slight and uniform ring-formed enhancement in post-contrast phases, a typical CT presentation of intramural duodenal hematoma. Periduodenal and right sided pararenal hematomas were also visualized. After stopping the anticoagulant therapy and performing conservative treatment (vitamin K) with good therapeutic effect being monitored by physical examination, laboratory analyses and transabdominal ultrasonography, spontaneous resolution of the duodenal hematoma was revealed by follow-up CT examination two weeks after the onset. Conclusion. Ultrasonography and CT are useful diagnostic tools in recognition of the intramural duodenal hematoma and other locations of hemorrhage and in monitoring therapeutic effects.

Indications for Surgical Exploration in the Diagnosis of Intrahepatic Obstructive Jaundice

1952 ◽  
Vol 22 (2) ◽  
pp. 232-243
Author(s):  
Leonard A. Stine ◽  
Richard M. Bendix ◽  
Jerome M. Swarts
Keyword(s):  
Obstructive Jaundice ◽  
Surgical Exploration
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