Gastrointestinal Radiology

, Volume 15, Issue 1, pp 296–298 | Cite as

Fatal pancreatitis secondary to iatrogenic intramural duodenal hematoma: A case report and review of the literature

  • Forat Sadry
  • Hermann Hauser


Intramural duodenal hematoma (IDH) is a rare finding in the adult, especially when related to iatrogenic complications of ulcer treatment. It can lead to biliary obstruction and pancreatitis, which proved fatal in our case. Contrastenhanced computed tomography (CT) is invaluable in detecting the abnormality and can definitely be diagnostic.

Key words

Duodenal intramural hematoma, CT Ulcer sclerosis 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Hayashi K, Futagawa S, Hirao K, et al.: Ultrasound and CT diagnosis of intramural duodenal hematoma.Pediatr Radiol 18:167–168, 1988Google Scholar
  2. 2.
    Martin B, Noblinski B, Aymard A, et al.: Hematome intramural du duodénum: A propos d'un cas.Ann Radiol (Paris) 30:222–225, 1987Google Scholar
  3. 3.
    Aston JK: CT of obstructive jaundice secondary to duodenal hematoma.J Comput Tomogr 10:171–173, 1986Google Scholar
  4. 4.
    Helenon O, Yana C, Roge P, et al.: Aspects échographiques et tomodensitometriques de l'hematome intramural du duodénum: A propos d'un cas.J Radiol 69:455–458, 1988Google Scholar
  5. 5.
    Alsop WR, Burt RW, Tolman KG: Intramural duodenal hematoma.Gastrointest Endosc 31:32–34, 1985Google Scholar
  6. 6.
    Kiely PE, Karr GF, O'Shea M: Massive intramural duodenal haemorrhage complicating ERCP.J Med Sci 151:223–224, 1987Google Scholar
  7. 7.
    Patel R, Shaps J: Intramural duodenal hematoma: A complication of ERCP (letter).Gastrointest Endosc 28:218–219, 1982Google Scholar
  8. 8.
    Sisley JF, Bowden TA, Mansberger AR: Pancreatic duct disruption and duodenal hematoma associated with ERCP.South Med J 80:1441–1443, 1987Google Scholar
  9. 9.
    Ghischan FK, Werner M, Vieira P, et al.: Intramural duodenal hematoma: An unusual complication of endoscopic small bowel biopsy.Am J Gastroenterol 82:368–370, 1987Google Scholar
  10. 10.
    Panes J, Viver J, Forne M, et al.: Controlled trial of endoscopic sclerosis in bleeding peptic ulcers.Lancet 2:1292–1294, 1987Google Scholar
  11. 11.
    Jewett TC, Caldarola V, Karp MP, et al.: Intramural hematoma of the duodenum.Arch Surg 123:54–58, 1988Google Scholar
  12. 12.
    Zapf S, Duber C, Kuhn FP, et al.: Diagnosis of duodenal wall hematoma.Roentgenblatter 41:21–30, 1988Google Scholar
  13. 13.
    Stelling T, Von Rooij WJ, Tio TL, et al.: Pancreatitis associated with congenital duodenal duplication cyst in an adult.Endoscopy 19:171–173, 1987Google Scholar
  14. 14.
    Yoshino MT: Duodenal hematoma: CT demonstration of the ring sign.Gastrointest Radiol 12:330–332, 1987Google Scholar

Copyright information

© Springer-Verlag New York Inc. 1990

Authors and Affiliations

  • Forat Sadry
    • 1
  • Hermann Hauser
    • 1
  1. 1.Department of RadiologyUniversity Hospital of GenevaGenevaSwitzerland

Personalised recommendations