Gastric Submucosal Hematoma after Endoscopic Hemostasis in Patient with Dual Antiplatelet Therapy |
Taeyun Kim, Heung Up Kim, Hyun Joo Song |
Department of Internal Medicine, Jeju National University School of Medicine, Jeju, Korea. kimhup@hanmail.net |
위궤양 출혈의 내시경적 지혈술 후 발생한 위 점막하 혈종 1예 |
김태윤, 김흥업, 송현주 |
제주대학교 의학전문대학원 내과학교실 |
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Abstract |
Intramural hematoma of the gastrointestinal tract is uncommon, with the majority being localized to the esophagus or duodenum. Hematoma of the gastric wall is extremely rare and caused by coagulopathy, peptic ulcer disease or blunt trauma. Recently due to the increase in patients with antiplatelet use, liver cirrhosis, and/or end stage reanal disease, occurrence of gastric submucosal hematomas after endoscopic hemostasis can increase. This is a case of gastric submucosal hematoma which occurred in a patient taking dual antiplatelet therapy after endoscopic hemostasis for gastric peptic ulcer bleeding. We report a case of gastric submucosal hematoma which improved with medical therapy and healed naturally with an ulcer scar. |
Key Words:
Hematoma; Hemostasis, Endoscopic; Peptic ulcer hemorrhage; Platelet aggregation inhibitors |
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