Duodenal Hematoma following Endoscopic Duodenal Biopsy: A Case Report and Review of the Literature

Author:

Diniz-Santos Daniel R1,de Andrade Cairo Romilda C1,Braga Hélio2,Araújo-Neto Cesar2,Paes Igelmar B3,Silva Luciana R1

Affiliation:

1. Division of Pediatric Gastroenterology and Hepatology, Professor Hosannah Oliveira Pediatric Center, Federal University of Bahia, Brazil

2. Division of Radiology, Hospital Aliança, Brazil

3. Division of Digestive Endoscopy, Hospital Aliança, Salvador, Brazil

Abstract

Duodenal hematoma is a rare complication of endoscopic duodenal biopsy that occurs mainly in children or adults with impaired coagulation. The clinical presentation consists of signs of intestinal obstruction, and pancreatitis and direct hyperbilirubinemia are possible complications caused by ampullary obstruction. A case of a six-year-old girl who presented with a duodenal hematoma and acute pancreatitis after having an endoscopic duodenal biopsy is reported. A review of the literature and data from all similar cases reported so far are briefly presented and discussed.

Publisher

Hindawi Limited

Subject

Gastroenterology,General Medicine

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