Case report: two cases of spontaneous intramural duodenal hematoma associated with pancreatitis

Lidija Ljubicic; Ivan Romic; Igor Petrovic; Zlatko Marusic; Hrvoje Silovski

doi:10.23750/abm.v93iS1.13041

Case report: two cases of spontaneous intramural duodenal hematoma associated with pancreatitis

Authors

Lidija Ljubicic a:1:{s:5:"en_US";s:35:"Department for Respiratory Diseases";}
Ivan Romic Department of Surgery, University Hospital Centre Zagreb, Zagreb, Croatia
Igor Petrovic Department of Surgery, University Hospital Centre Zagreb, Zagreb, Croatia
Zlatko Marusic Department of Pathology, University Hospital Centre Zagreb, Zagreb, Croatia
Hrvoje Silovski Department of Surgery, University Hospital Centre Zagreb, Zagreb, Croatia

DOI: https://doi.org/10.23750/abm.v93iS1.13041

Keywords:

Pancreatitis, Duodenal hematoma, Computed tomography

Abstract

Intramural duodenal hematoma (IDH) is a rare entity and is generally associated with trauma. Spontaneous (nontraumatic) intramural duodenal hematoma is associated with bleeding disorders, anticoagulation therapy, alcoholism, pancreatitis, tumours and duodenal ulcers. We report two cases of spontaneous intramural duodenal hematoma in middle-aged men who subsequently developed pancreatitis. The underlying pathophysiology is still unclear. In the cases described, it is not clear whether the intramural duodenal hematoma contributed to the development of pancreatitis or pancreatitis has contributed to the development of IDH.

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