| PROCHÁZKA, Vladimír, Filip MAREK, Vlastimil VÁLEK, Markéta HERMANOVÁ a Zdeněk KALA. Spontaneous duodenal intramural haematoma imitating pancreatic pseudocyst. Acta Chirurgica Belgica. Belgie: Royal Belgian Society for Surgery, 2011, roč. 111, č. 4, s. 238-242. ISSN 0001-5458. |
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@article{969208,
author = {Procházka, Vladimír and Marek, Filip and Válek, Vlastimil and Hermanová, Markéta and Kala, Zdeněk},
article_location = {Belgie},
article_number = {4},
keywords = {diagnostics; drainage; duodenum; gastroenteroanastomosis; intramural haematoma},
language = {eng},
issn = {0001-5458},
journal = {Acta Chirurgica Belgica},
title = {Spontaneous duodenal intramural haematoma imitating pancreatic pseudocyst},
volume = {111},
year = {2011}
}
TY - JOUR
ID - 969208
AU - Procházka, Vladimír - Marek, Filip - Válek, Vlastimil - Hermanová, Markéta - Kala, Zdeněk
PY - 2011
TI - Spontaneous duodenal intramural haematoma imitating pancreatic pseudocyst
JF - Acta Chirurgica Belgica
VL - 111
IS - 4
SP - 238-242
EP - 238-242
PB - Royal Belgian Society for Surgery
SN - 00015458
KW - diagnostics
KW - drainage
KW - duodenum
KW - gastroenteroanastomosis
KW - intramural haematoma
N2 - 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.
ER -
PROCHÁZKA, Vladimír, Filip MAREK, Vlastimil VÁLEK, Markéta HERMANOVÁ a Zdeněk KALA. Spontaneous duodenal intramural haematoma imitating pancreatic pseudocyst. \textit{Acta Chirurgica Belgica}. Belgie: Royal Belgian Society for Surgery, 2011, roč.~111, č.~4, s.~238-242. ISSN~0001-5458.
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