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Korean J Gastrointest Endosc. 2005 Feb;30(2):91-94. Korean. Case Report.
Baeck CW , Chun HJ , Chun HR , Yu SK , Kim YS , Jeen YT , Um SH , Kim CD , Ryu HS , Hyun JH .
Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea. kumcge@chol.com
Institute of Digestive Disease and Nutrition, Korea University College of Medicine, Seoul, Korea.
Abstract

Duodenal intramural hematoma is mostly caused by blunt abdominal trauma. Spontaneous duodenal intramural hematoma has been reported in the literature in patients with over-anticoagulation and coagulation disorders. The presentation of patients can vary from mild and vague abdominal pain to intestinal tract obstruction and an acute abdomen. The diagnosis is evident by gastroduodenal endoscopy, EUS and abdominal CT scan. We report a case of spontaneous duodenal intramural hematoma without the history of abdominal trauma and coagulation disorders in 54-year-old male patient. After conservative treatment, the patient was discharged without any complications.

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