Case report: two cases of spontaneous intramural duodenal hematoma associated with pancreatitis

Intramural duodenal hematoma (IDH) is a rare entity which is generally associated with trauma. Spontaneous (nontraumatic) intramural duodenal hematoma is associated with bleeding disorders, anticoagulation therapy, alcoholism, pancreatitis, tumors and duodenal ulcers. We report two cases of spontaneous intramural duodenal hematoma in middle-aged men who subsequently developed pancreatitis. The underlying pathophysiology is still unclear. In the cases described, it is not clear whether the intramural duodenal hematoma contributed to the development of pancreatitis or chronic pancreatitis has contributed to the development of IDH.