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Endoscopy 1981; 13(6): 246-248
DOI: 10.1055/s-2007-1021697
CASE REPORTS

© Georg Thieme Verlag KG Stuttgart · New York

Intramural Hematoma of the Duodenum in a Patient with Chronic Pancreatitis

J.P. van Spreeuwel* , L.H.M. van Gorp** , T.J. Bast*** , J.H.S.M. Nadorp*
  • *Department of Internal Medicine, Division of Gastroenterology, St. Antonius Ziekenhuis, J. v. Scorelstraat, 2, Utrecht, The Netherlands
  • **Department of Pathology, St. Antonius Ziekenhuis, J. v. Scorelstraat, 2, Utrecht, The Netherlands
  • ***Department of Surgery, St. Antonius Ziekenhuis, J. v. Scorelstraat, 2, Utrecht, The Netherlands
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Publication History

Publication Date:
17 March 2008 (online)

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Summary

Intramural hematoma of the duodenum is usually caused by blunt abdominal injury. Sometimes this lesion occurs in patients with coagulation disturbances or pancreatic disease such as chronic pancreatitis. There also appears to be a link with alcohol abuse.

We describe the case-history of a 45-year-old male with chronic pancreatitis who presented with abdominal pain. The diagnosis of a space-occupying process of the duodenum was made and subsequently a pancreatico-duodenectomy was performed. The duodenum revealed an intramural hematoma, the pancreas showed signs of mild chronic pancreatitis.

Key words:

Intramural hematoma of the duodenum - Chronic pancreatitis - Space-occupying process of the duodenum