Case Report

Intramural duodenal hematoma and hemoperitoneum after endoscopic treatment in a patient with chronic renal failure on hemodialysis: a case report

Sungjin Chung¹ , Cheol Whee Park² , Hyun Wha Chung³ , Seok Joon Shin³ and Yoon Sik Chang¹

¹  Division of Nephrology, St. Mary's Hospital, The Catholic University of Korea, 62 Yeouido-dong, Yeongdeungpo-gu, Seoul 150-713, Republic of Korea

²  Division of Nephrology, Seoul St. Mary's Hospital, The Catholic University of Korea, 505 Banpo-dong, Seocho-gu, Seoul 137-040, Republic of Korea

³  Division of Nephrology, Incheon St. Mary's Hospital, The Catholic University of Korea, 665-8 Bupyeong 6-dong, Bupyeong-gu, Incheon 403-720, Republic of Korea

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Cases Journal 2009, 2:9083doi:10.1186/1757-1626-2-9083

Published:	24 November 2009

Abstract

Introduction

An intramural duodenal hematoma is a rare but recognized complication that usually develops after abdominal trauma, predominantly in children and young adults.

Case Presentation

We report the case of a patient that developed an intramural duodenal hematoma after endoscopic treatment for a bleeding ulcer who also was undergoing conventional hemodialysis for chronic renal failure associated with lupus nephritis. A hemoperitoneum and near-total duodenal obstruction developed but spontaneously resolved with conservative treatment.

Conclusion

Clinicians should be aware of such possible complications after endoscopic hemostasis in patients with coagulation disorders.