Large duodenal hematoma associated with transcatheter arterial embolization following endoscopic hemostasis in a cirrhosis patient: Case report

Duodenal intramural hematoma is an unusual condition in adults (1,2). However, it has often been reported as a complication of blunt trauma to the abdomen (3). Non-traumatic duodenal intramural hematomas due to anticoagulant therapy, blood dyscrasia, pancreatic disease, and collagen vascular disease (4, 5) are reported less often. Intramural duodenal hematoma following endoscopic intervention is extremely rare (3), and conservative management is almost always adopted with favorable outcome (6). However, surgical treatment is advocated when intramural duodenal hematoma is complicated by biliary or pancreatic duct compression (7).