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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...

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Autores principales: Almaguer, Joey, Murray, Dylan, Motamedi, Sheedeh, Murray, Richard
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
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.
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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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