Intramural Duodenal Haematoma after Endoscopic Biopsy: Case Report and Review of the Literature
The development of intramural duodenal haematoma (IDH) after small bowel biopsy is an unusual lesion and has only been reported in 18 children. Coagulopathy, thrombocytopenia and some special features of duodenal anatomy, e.g. relatively fixed position in the retroperitoneum and numerous submucosal...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Karger Publishers
2012-01-01
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| Series: | Case Reports in Gastroenterology |
| Subjects: | |
| Online Access: | http://www.karger.com/Article/FullText/336022 |
| _version_ | 1819267518811865088 |
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| author | Claudia Grasshof Anna Wolf Frank Neuwirth Carsten Posovszky |
| author_facet | Claudia Grasshof Anna Wolf Frank Neuwirth Carsten Posovszky |
| author_sort | Claudia Grasshof |
| collection | DOAJ |
| description | The development of intramural duodenal haematoma (IDH) after small bowel biopsy is an unusual lesion and has only been reported in 18 children. Coagulopathy, thrombocytopenia and some special features of duodenal anatomy, e.g. relatively fixed position in the retroperitoneum and numerous submucosal blood vessels, have been suggested as a cause for IDH. The typical clinical presentation of IDH is severe abdominal pain and vomiting due to duodenal obstruction. In addition, it is often associated with pancreatitis and cholestasis. Diagnosis is confirmed using imaging techniques such as ultrasound, magnetic resonance imaging or computed tomography and upper intestinal series. Once diagnosis is confirmed and intestinal perforation excluded, conservative treatment with nasogastric tube and parenteral nutrition is sufficient. We present a case of massive IDH following endoscopic grasp forceps biopsy in a 5-year-old girl without bleeding disorder or other risk for IDH, which caused duodenal obstruction and mild pancreatitis and resolved within 2 weeks of conservative management. Since duodenal biopsies have become the common way to evaluate children or adults for suspected enteropathy, the occurrence of this complication is likely to increase. In conclusion, the review of the literature points out the risk for IDH especially in children with a history of bone marrow transplantation or leukaemia. |
| first_indexed | 2024-12-23T21:18:27Z |
| format | Article |
| id | doaj.art-1d5feae534b045eb869c27a15d033ae4 |
| institution | Directory Open Access Journal |
| issn | 1662-0631 |
| language | English |
| last_indexed | 2024-12-23T21:18:27Z |
| publishDate | 2012-01-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Gastroenterology |
| spelling | doaj.art-1d5feae534b045eb869c27a15d033ae42022-12-21T17:30:50ZengKarger PublishersCase Reports in Gastroenterology1662-06312012-01-016151410.1159/000336022336022Intramural Duodenal Haematoma after Endoscopic Biopsy: Case Report and Review of the LiteratureClaudia GrasshofAnna WolfFrank NeuwirthCarsten PosovszkyThe development of intramural duodenal haematoma (IDH) after small bowel biopsy is an unusual lesion and has only been reported in 18 children. Coagulopathy, thrombocytopenia and some special features of duodenal anatomy, e.g. relatively fixed position in the retroperitoneum and numerous submucosal blood vessels, have been suggested as a cause for IDH. The typical clinical presentation of IDH is severe abdominal pain and vomiting due to duodenal obstruction. In addition, it is often associated with pancreatitis and cholestasis. Diagnosis is confirmed using imaging techniques such as ultrasound, magnetic resonance imaging or computed tomography and upper intestinal series. Once diagnosis is confirmed and intestinal perforation excluded, conservative treatment with nasogastric tube and parenteral nutrition is sufficient. We present a case of massive IDH following endoscopic grasp forceps biopsy in a 5-year-old girl without bleeding disorder or other risk for IDH, which caused duodenal obstruction and mild pancreatitis and resolved within 2 weeks of conservative management. Since duodenal biopsies have become the common way to evaluate children or adults for suspected enteropathy, the occurrence of this complication is likely to increase. In conclusion, the review of the literature points out the risk for IDH especially in children with a history of bone marrow transplantation or leukaemia.http://www.karger.com/Article/FullText/336022Intramural duodenal haematomaEndoscopic biopsyChildrenBone marrow transplantationLeukaemia |
| spellingShingle | Claudia Grasshof Anna Wolf Frank Neuwirth Carsten Posovszky Intramural Duodenal Haematoma after Endoscopic Biopsy: Case Report and Review of the Literature Case Reports in Gastroenterology Intramural duodenal haematoma Endoscopic biopsy Children Bone marrow transplantation Leukaemia |
| title | Intramural Duodenal Haematoma after Endoscopic Biopsy: Case Report and Review of the Literature |
| title_full | Intramural Duodenal Haematoma after Endoscopic Biopsy: Case Report and Review of the Literature |
| title_fullStr | Intramural Duodenal Haematoma after Endoscopic Biopsy: Case Report and Review of the Literature |
| title_full_unstemmed | Intramural Duodenal Haematoma after Endoscopic Biopsy: Case Report and Review of the Literature |
| title_short | Intramural Duodenal Haematoma after Endoscopic Biopsy: Case Report and Review of the Literature |
| title_sort | intramural duodenal haematoma after endoscopic biopsy case report and review of the literature |
| topic | Intramural duodenal haematoma Endoscopic biopsy Children Bone marrow transplantation Leukaemia |
| url | http://www.karger.com/Article/FullText/336022 |
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