Duodenal Hematoma : A Rare Complication of Anticoagulation

Department of gastroenterology. Habib Thameur Hospital

*Corresponding author: Sabbah Meriam, Department of gastroenterology. Habib Thameur Hospital, Rue El Messelekh, Montfleury, 1002 Tunis Tunisie.

Received: December 21, 2019 Published: January 6, 2020

CASE REPORT

A 59-year-old man with history of diabetes and vein thrombosis of the limb with indication for life anticoagulation for life presented for vomiting and anemia without GI bleeding. Hemoglobin level was 7 while INR was >15. After reanimation (antivitamin K and transfusion), abdominal tomodensitometry was perfomed, showing circumferential spontaneously hyperdense parietal thickening of the third duodenum and the Treitz angle, 24 mm thick, associated with mesenteric densification (Figure 1). Upper endoscopy showed a bluish appearance sometimes with large congestive folds of the duodenal mucosa evoking a duodenal parietal hematoma (Figure 2). Evolution was spontaneously favorable with regression of the vomiting and stabilization of the hemoglobin level.

Figure 1: Abdominal CT scan: showing circumferential spontaneously hyperdense parietal thickening of the third duodenum and the Treitz angle  

Figure 2: Upper endoscopy: Upper endoscopy showed a bluish appearance sometimes with large congestive folds of the duodenal mucosa evoking a duodenal parietal hematoma

Copyright: Meriam S, et al. ©2019. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Citation: Meriam S (2019). Duodenal Hematoma: A Rare Complication of Anticoagulation. Gastro Res 1(1): 3.