| Spontaneous duodenal intramural haematoma imitating pancreatic pseudocyst. | |
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MedLine Citation:
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PMID: 21954742 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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Spontaneous intramural duodenal haematoma develops mostly as a complication of anticoagulation therapy. Other causes were reported only as case reports. CT diagnostics has some typical features in an intramural haematoma of the small bowel. This is especially hyperdensity of the bowel wall during the first 10 days from the onset of symptoms (30-80 HU), which could contribute to the differentiation from other infiltrative processes. These features are fully expressed only in a certain part of patients. We reported a 54 year-old female treated for epigastric pain. The patient's history, laboratory data, ultrasonography and CT findings resulted in a mistaken diagnosis of acute pancreatitis, necrosis of the pancreatic body with a subsequent development of pancreatic pseudocyst. The CT guided drainage was performed. The correct diagnosis was made one year later--surgical treatment was indicated for clinical signs of GI obstruction and CT findings of pseudocyst recurrence. During the operation, there was a finding of intramural haematoma in the duodenojejunal border. We performed an evacuation of the haematoma and gastroenteroanastomosis. |
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Authors:
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V Prochazka; F Marek; V Valek; M Hermanova; Z Kala |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Acta chirurgica Belgica Volume: 111 ISSN: 0001-5458 ISO Abbreviation: Acta Chir. Belg. Publication Date: 2011 Jul-Aug |
Date Detail:
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Created Date: 2011-09-29 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0370571 Medline TA: Acta Chir Belg Country: Belgium |
Other Details:
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Languages: eng Pagination: 238-42 Citation Subset: IM |
Affiliation:
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Department of Surgery, Faculty Hospital Brno-Bohunice and Medical Faculty of Masaryk University Brno, Czech Republic. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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