Year: 2024
Type: article
Study design: Case Report
Abstract: A 79-year-old man undergoing treatment with warfarin for atrial fibrillation and hemodialysis for renal failure was transferred to our hospital for rehabilitation. During a maintenance hemodialysis session, blood pressure was shown to be elevated and an intramural duodenal hematoma suddenly occurred. After 3 days, the hematoma had enlarged and angiographic embolization was performed, with complete resolution noted after 2 months. Occurrence of an intramural duodenal hematoma during hemodialysis is rare. However, acute abdominal pain with symptoms indicating obstruction in patients undergoing such treatment should raise suspicion regarding an intramural duodenal hematoma. Although conservative treatment is often effective for a nontraumatic intramural hematoma, early angiographic embolization is preferred when disruption of anticoagulant therapy is difficult or for patients with failed medical treatment.
Source: JGH Open
DOI: 10.1002/jgh3.70078
Author: Hideaki Kazumori
Institution: Matsue Seikyo General Hospital
Language: English
Topic: Case Reports on Hematomas
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $2,310
OpenAlex ID: W4405452389