Duodenal hematoma following endoscopic duodenal biopsy: a case report and review of the existing literature

Duodenal hematoma is a rare complication of endoscopic duodenal biopsy that occurs mainly in children or adults with impaired coagulation. The clinical presentation consists of signs of intestinal obstruction, and pancreatitis and direct hyperbilirubinemia are possible complications caused by ampull...

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Bibliographic Details
Published in:Canadian journal of gastroenterology 2006-01, Vol.20 (1), p.39-42
Main Authors: Diniz-Santos, D R, de Andrade Cairo, Romilda C, Braga, Hélio, Araújo-Neto, Cesar, Paes, Igelmar B, Silva, Luciana R
Format: Article
Language:English
Subjects:
Biopsy - adverse effects
Child
Duodenum - diagnostic imaging
Duodenum - injuries
Duodenum - pathology
Endoscopy - adverse effects
Enzyme Inhibitors - therapeutic use
Female
Hematoma - etiology
Humans
Intestinal Obstruction - etiology
Intestinal Obstruction - therapy
Omeprazole - therapeutic use
Radiography
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Summary:Duodenal hematoma is a rare complication of endoscopic duodenal biopsy that occurs mainly in children or adults with impaired coagulation. The clinical presentation consists of signs of intestinal obstruction, and pancreatitis and direct hyperbilirubinemia are possible complications caused by ampullary obstruction. A case of a six-year-old girl who presented with a duodenal hematoma and acute pancreatitis after having an endoscopic duodenal biopsy is reported. A review of the literature and data from all similar cases reported so far are briefly presented and discussed.
ISSN:0835-7900