Table 2: Previously reported cases of intramural duodenal hematoma secondary to pancreatitis.
Author | Age (years) | Gender | Etiology of pancreatitis | Anticoagulant/antiplatelet therapy or coagulopathy | Treatment | Outcome |
---|---|---|---|---|---|---|
Bodnár et al.1 | 33 | Male | Hypertriglyceridemia | No | Conservative | Evolved with a pancreatic abscess that required CT-guided aspiration; no specific therapy for the duodenal hematoma; discharged after six weeks |
Leundji et al.2 | 45 | Male | Alcoholic | Yes (thrombopenic due to portal hypertension) | Conservative | Asymptomatic one year afterwards |
Eurboonyanun et al.3 | 27 | Male | Alcoholic | No | Conservative | Uneventful; discharged after 17 days |
Dugernier et al.4 | 32 | Male | Biliary | No | Conservative | Evolved with infected necrosis that required repeated surgical debridement and drainage; no specific therapy for the duodenal hematoma was carried out due to the poor clinical condition; discharged after six months |
Fukunaga et al.5 | 49 | Male | Alcoholic | No | Surgical drainage and biopsy | Uneventful; discharged after 18 days |
Neuzillet et al.6 | 62 | Male | Alcoholic | No | Pancreaticoduodenectomy | Uneventful |
Lee et al.7 | 47 | Male | Dengue fever | Yes (dengue hemorrhagic fever) | Conservative | Evolved with a peripancreatic abscess that required drainage 51 days after admission; uneventful evolution after drainage |
Lee et al.8 | 55 | Male | Alcoholic | No | Endoscopic drainage | Uneventful after drainage; follow-up CT demonstrated a smaller intramural mass in the duodenum and upper endoscopy showed a small duodenal ulcer |
Veloso et al.9 | 64 | Male | Unknown | Yes (aspirin and clopidogrel due to a previous myocardial infarction) | Conservative | Uneventful; discharged after 14 days |
Ma et al.12 | 32 | Male | Alcoholic | No | Pancreaticoduodenectomy after failure of conservative therapy | Discharged two weeks after surgery; uneventful late postoperative evolution |
Dubois et al.13 | 55 | Male | Alcoholic | No | Conservative | Uneventful |
Khurana et al.14 | 73 | Female | Pancreatic malignancy | Yes (warfarin for deep venous thrombosis) | Conservative | Uneventful; after resolution of duodenal hematoma, the patient underwent distal pancreatic resection |
Farhoud et al.15 | 71 | Female | Obstructive | Yes (warfarin for deep venous thrombosis) | Conservative | Uneventful; discharged after 10 days |
Fesenmeyer et al.16 | 71 | Male | Unknown | No | Conservative | Uneventful |
CT = computed tomography.