내시경 치료 후 폐쇄성 황달을 동반한 십이지장의 장벽내 혈종 1예
Huge Intramural Duodenal Hematoma Complicated with Obstructive Jaundice following Endoscopic Hemostasis
김학수, 김희경, 김원희, 홍성화, 조주영,
소속 상세정보
김학수 ( Kim Hak-Su )
인천사랑병원 소화기내과
김희경 ( Kim Hee-Kyoung )
청구성심병원 소화기내과
김원희 ( Kim Won-Hee )
차의과학대학교 분당차병원 소화기센터
홍성화 ( Hong Sung-Hwa )
차의과학대학교 분당차병원 소화기센터
조주영 ( Cho Joo-Young )
차의과학대학교 분당차병원 소화기센터
Abstract
Intramural hematoma of the duodenum is a relatively unusual complication associated with the endoscopic treatment of bleeding peptic ulcers. Intramural hematomas are typically resolved spontaneously with conservative treatment alone. We report a case of an intramural duodenal hematoma following endoscopic hemostasis with epinephrine injection therapy, which was associated with transient obstructive jaundice in a patient undergoing hemodialysis. The patient developed biliary sepsis due to obstruction of the common bile duct secondary to the huge hematoma. He was treated with fluoroscopy-guided drainage catheter insertion, which spontaneously resolved the biliary sepsis through conservative treatment in 6 weeks. Fluoroscopy-guided drainage may impact the treatment of intramural hematomas that involve life-threatening complications.
키워드
Duodenal ulcer; Hematoma; Cholestasis; Drainage
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