Korean J Gastrointest Endosc > Volume 34(5); 2007 > Article
Korean Journal of Gastrointestinal Endoscopy 2007;34(5): 269-273.
신부전 환자에서 치료 내시경술 후 발생한 십이지장 벽내 혈종과 혈복강 1예
박동선·신운건·김민관·이정아·허경미·김학양
한림대학교 의과대학 내과학교실
A Case of Duodenal Intramural Hematoma and Hemoperitoneum after Therapeutic Endoscopy in a Patient with Chronic Renal Failure
Dong Seon Park, M.D., Woon Geon Shin, M.D., Min Kwan Kim, M.D., Jeang A Lee, M.D., Gyeong Mi Heo, M.D. and Hak Yang Kim, M.D.
Department of Internal Medicine, Hallym University College of Medicine, Seoul, Korea
Abstract
Duodenal intramural hematoma is mostly caused by blunt abdominal trauma. It is also less commonly reported as a complication of anticoagulation therapy or as a blood dyscrasia, and as a complication of diagnostic/ therapeutic endoscopy. The presentation of these patients is abdominal pain, vomiting, fever and hematochezia, and this is rarely accompanied with intestinal obstruction, severe pancreatitis and acute peritonitis as its complications. The diagnosis is made clear by performing abdominal ultrasonography and abdominal computed tomography. We reported here on one case of intramural duodenal hematoma and hemoperitoneum after performing endoscopic hemostasis in a chronic renal failure patient who was on maintenance hemodialysis. (Korean J Gastrointest Endosc 2007;34:269⁣273)
Key Words: Therapeutic endoscopy, Duodenum, Hematoma, Hemoperitoneum, Chronic renal failure
주요어: 치료내시경술, 십이지장, 벽내혈종, 혈복강, 신부전
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