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首页> 外文期刊>Sao Paulo Medical Journal >Intramural duodenal hematoma secondary to pancreatitis: case report and review of the literature
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Intramural duodenal hematoma secondary to pancreatitis: case report and review of the literature

机译：继发于胰腺炎的壁内十二指肠内血肿：病例报告及文献复习

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ABSTRACT CONTEXT: Spontaneous intramural duodenal hematoma is uncommon and is usually associated with coagulopathy, anticoagulant therapy and endoscopic procedures. The aim here was to describe a case of intramural duodenal hematoma caused by chronic exacerbation of pancreatitis. CASE REPORT: A 46-year-old male with chronic alcoholic pancreatitis was admitted to hospital due to abdominal pain, melena and low hemoglobin. An intramural duodenal hematoma with active bleeding was detected and selective angioembolization was warranted. The patient evolved with a perforated duodenum and underwent laparotomy with exclusion of the pylorus and Roux-en-Y gastrojejunostomy. He was discharged nine days later. CONCLUSION: Intramural duodenal hematoma is a rare complication of pancreatitis. Selective embolization is the preferred treatment for hemorrhagic complications of pancreatitis. However, the risk of visceral ischemia and perforation should be considered.
机译：摘要背景：自发性壁内十二指肠血肿并不常见，通常与凝血病，抗凝治疗和内窥镜检查程序有关。这里的目的是描述由胰腺炎的慢性加重引起的壁内十二指肠血肿的病例。病例报告：一名患有慢性酒精性胰腺炎的46岁男性因腹痛，黑便和低血红蛋白入院。检测到具有活动性出血的壁内十二指肠血肿，并有选择地进行了血管栓塞。该患者进化为十二指肠穿孔，行开腹手术，排除幽门和Roux-en-Y胃空肠吻合术。九天后他出院了。结论：壁内十二指肠血肿是一种罕见的胰腺炎并发症。选择性栓塞术是胰腺炎出血并发症的首选治疗方法。但是，应考虑内脏缺血和穿孔的风险。

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