Endoscopic management of intramural spontaneous duodenal hematoma:A case report  

作　　者：Giorgio Valerii Vittorio Maria Ormando Carlo Cellini Luca Sacco Carmelo Barbera 

机构地区：[1]Gastroenterology and Endoscopy Unit,Ospedale G.Mazzini,Teramo 64100,Italy [2]Gastroenterology and Endoscopy Unit,AORN San Giuseppe Moscati,Avellino 83100,Ital [3]Surgery Unit,Ospedale G.Mazzini,Teramo 64100,Italy

出　　处：《World Journal of Gastroenterology》2022年第20期2243-2247,共5页世界胃肠病学杂志（英文版）

摘　　要：BACKGROUND Intramural duodenal hematoma is a rare condition described for the first time in 1838.This condition is usually associated with blunt abdominal trauma in children.Other non-traumatic risk factors for spontaneous duodenal haematoma include several pancreatic diseases,coagulation disorders,malignancy,collagenosis,peptic ulcers,vasculitis and upper endoscopy procedures.In adults the most common risk factor reported is anticoagulation therapy.The clinical presentation may vary from mild abdominal pain to acute abdomen and intestinal obstruction or gastrointestinal bleeding.CASE SUMMARY The aim of this case summary is to show a case of intramural spontaneous hematoma with symptoms of intestinal obstruction that was properly drained endoscopically by an innovative system lumen-apposing metal stent Hot AXIOS™stent(Boston Scientific Corp.,Marlborough,MA,United States).CONCLUSION Endoscopic lumen-apposing metal stent Hot AXIOS™stent is a safe and feasible treatment of duodenal intramural hematoma in our case.

关 键 词：Duodenal hematoma Several pancreatic diseases Endoscopy complication AXIOS™stent Case report 

分 类 号：R656.64[医药卫生—外科学]