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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