| 유지 혈액투석 중인 말기 신부전 환자에서 십이지장 궤양 출혈의 에피네프린 주입 후 발생한 십이지장 근육내 혈종 1예 |
| 안영용ㆍ안서희ㆍ이정은ㆍ이욱현ㆍ정연오ㆍ김은혜ㆍ성혜정ㆍ강상범 |
| 가톨릭대학교 의과대학 대전성모병원 내과학교실 |
| A Case of Intramural Duodenal Hematoma after the Use of the Endoscopic Epinephrine Injection Method for Duodenal Ulcer Bleeding in a Chronic Renal Failure Patient undergoing Maintenance Hemodialysis |
| Young Yong Ahn, M.D., Soe Hee Ann, M.D., Jeong Eun Yi, M.D., Wook Hyun Lee, M.D., Yeon Oh Jeong, M.D., Eun Hea Kim, M.D., Hea Jung Sung, M.D. and Sang Bum Kang, M.D. |
| Department of Internal Medicine, Daejeon St. Mary's Hospital Medical, The Catholic University of Korea College of Medicine, Daejeon, Korea |
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| Abstract |
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An intramural duodenal hematoma has been mostly reported as a consequence of trauma. It can also result from a hematological disorder, anticoagulant drug use and a post-therapeutic endoscopic procedure. Common symptoms of patients with an intramural duodenal hematoma are vomiting and abdominal pain. An intramural duodenal hematoma is rarely accompanied with pancreatitis and cholangitis due to intestinal obstruction. A diagnosis is made by esophagogastroduodenoscopy and the use of an abdominal CT scan. An intramural duodenal hematoma is mainly treated with conservative therapy but it may sometimes be treated with a surgical procedure. We report one case of an intramural duodenal hematoma after performing a therapeutic endoscopic procedure in a chronic renal failure patient undergoing maintenance hemodialysis. (Korean J Gastrointest Endosc 2009;38: 94-97) |
| Key Words:
Intramural hematoma, Duodenum, Chronic renal failure, Duodenoscopy |
| 주요어:
근육내 혈종, 십이지장, 신부전, 내시경 |
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