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A Rare Case of Gastric Intramural Hematoma Secondary to Hemorrhagic Pancreatitis
Gastric intramural hematoma (GIH) is a contained hemorrhage located within the layers that comprise the wall of the stomach. It is a rare condition that has a variety of etiologies. Pancreatitis-induced GIH is an even rarer phenomenon, with only a handful of documented cases in the medical literatur...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10494740/ https://www.ncbi.nlm.nih.gov/pubmed/37701159 http://dx.doi.org/10.7759/cureus.45039 |
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author | Almaguer, Joey Murray, Dylan Motamedi, Sheedeh Murray, Richard |
author_facet | Almaguer, Joey Murray, Dylan Motamedi, Sheedeh Murray, Richard |
author_sort | Almaguer, Joey |
collection | PubMed |
description | Gastric intramural hematoma (GIH) is a contained hemorrhage located within the layers that comprise the wall of the stomach. It is a rare condition that has a variety of etiologies. Pancreatitis-induced GIH is an even rarer phenomenon, with only a handful of documented cases in the medical literature. In the current case, a patient presented with chronic abdominal pain for the past two months, with an acute worsening of symptoms. CT imaging confirmed a large, stable GIH with concomitant pancreatitis, likely alcohol-induced. Diagnostic laparoscopy was performed in response to worsening hemodynamic status, which confirmed hemorrhagic pancreatitis as the likely cause of the GIH formation. Jackson-Pratt (JP) drains were placed, and the patient was subsequently discharged. The patient returned one month later with an acute exacerbation of pancreatitis; however, interval improvement of the GIH was observed. The patient was transferred to outpatient care for continued conservative treatment without any further return visits. |
format | Online Article Text |
id | pubmed-10494740 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-104947402023-09-12 A Rare Case of Gastric Intramural Hematoma Secondary to Hemorrhagic Pancreatitis Almaguer, Joey Murray, Dylan Motamedi, Sheedeh Murray, Richard Cureus Radiology Gastric intramural hematoma (GIH) is a contained hemorrhage located within the layers that comprise the wall of the stomach. It is a rare condition that has a variety of etiologies. Pancreatitis-induced GIH is an even rarer phenomenon, with only a handful of documented cases in the medical literature. In the current case, a patient presented with chronic abdominal pain for the past two months, with an acute worsening of symptoms. CT imaging confirmed a large, stable GIH with concomitant pancreatitis, likely alcohol-induced. Diagnostic laparoscopy was performed in response to worsening hemodynamic status, which confirmed hemorrhagic pancreatitis as the likely cause of the GIH formation. Jackson-Pratt (JP) drains were placed, and the patient was subsequently discharged. The patient returned one month later with an acute exacerbation of pancreatitis; however, interval improvement of the GIH was observed. The patient was transferred to outpatient care for continued conservative treatment without any further return visits. Cureus 2023-09-11 /pmc/articles/PMC10494740/ /pubmed/37701159 http://dx.doi.org/10.7759/cureus.45039 Text en Copyright © 2023, Almaguer et al. https://creativecommons.org/licenses/by/3.0/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. |
spellingShingle | Radiology Almaguer, Joey Murray, Dylan Motamedi, Sheedeh Murray, Richard A Rare Case of Gastric Intramural Hematoma Secondary to Hemorrhagic Pancreatitis |
title | A Rare Case of Gastric Intramural Hematoma Secondary to Hemorrhagic Pancreatitis |
title_full | A Rare Case of Gastric Intramural Hematoma Secondary to Hemorrhagic Pancreatitis |
title_fullStr | A Rare Case of Gastric Intramural Hematoma Secondary to Hemorrhagic Pancreatitis |
title_full_unstemmed | A Rare Case of Gastric Intramural Hematoma Secondary to Hemorrhagic Pancreatitis |
title_short | A Rare Case of Gastric Intramural Hematoma Secondary to Hemorrhagic Pancreatitis |
title_sort | rare case of gastric intramural hematoma secondary to hemorrhagic pancreatitis |
topic | Radiology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10494740/ https://www.ncbi.nlm.nih.gov/pubmed/37701159 http://dx.doi.org/10.7759/cureus.45039 |
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