PROCHÁZKA, Vladimír, Filip MAREK, Vlastimil VÁLEK, Markéta HERMANOVÁ and Zdeněk KALA. Spontaneous duodenal intramural haematoma imitating pancreatic pseudocyst. Acta Chirurgica Belgica. Belgie: Royal Belgian Society for Surgery, 2011, vol. 111, No 4, p. 238-242. ISSN 0001-5458.
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Basic information
Original name Spontaneous duodenal intramural haematoma imitating pancreatic pseudocyst
Authors PROCHÁZKA, Vladimír (203 Czech Republic, guarantor, belonging to the institution), Filip MAREK (203 Czech Republic, belonging to the institution), Vlastimil VÁLEK (203 Czech Republic, belonging to the institution), Markéta HERMANOVÁ (203 Czech Republic, belonging to the institution) and Zdeněk KALA (203 Czech Republic, belonging to the institution).
Edition Acta Chirurgica Belgica, Belgie, Royal Belgian Society for Surgery, 2011, 0001-5458.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30200 3.2 Clinical medicine
Country of publisher Belgium
Confidentiality degree is not subject to a state or trade secret
Impact factor Impact factor: 0.432
RIV identification code RIV/00216224:14110/11:00055301
Organization unit Faculty of Medicine
UT WoS 000294887400011
Keywords in English diagnostics; drainage; duodenum; gastroenteroanastomosis; intramural haematoma
Tags International impact
Changed by Changed by: Mgr. Michal Petr, učo 65024. Changed: 2/2/2012 08:06.
Abstract
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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