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Acute duodenal ischemia and periampullary intramural hematoma after an uneventful endoscopic retrograde cholangiopancreatography in a patient with primary myelofibrosis

Authors
Jung C.H.Hyun J.J.Gu D.H.Moon E.S.Kim J.S.Lee H.S.Kim C.D.
Issue Date
2014
Publisher
Korean Society of Gastrointestinal Endoscopy
Keywords
Acute duodenal ischemia; Cholangiopancreatography; Duodenal edema; Endoscopic retrograde; Periampullary intramural hematoma; Primary myelofibrosis
Citation
Clinical Endoscopy, v.47, no.3, pp.270 - 274
Indexed
SCOPUS
KCI
Journal Title
Clinical Endoscopy
Volume
47
Number
3
Start Page
270
End Page
274
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/9842
DOI
10.5946/ce.2014.47.3.270
ISSN
2234-2400
Abstract
Acute duodenal ischemia and periampullary intramural hematoma are rare complications after endoscopic retrograde cholangiopancreatography (ERCP). A 77-year-old man with splenomegaly complained of abdominal pain caused by common bile duct (CBD) stone. After successful removal of the CBD stone without immediate complications, the patient developed intramural hematoma around the ampulla of Vater along with diffuse duodenal edema. The findings were compatible with acute intestinal ischemia, and further evaluation revealed that he had underlying primary myelofibrosis. Myeloproliferative diseases are known to be significantly associated with an increased risk of thrombohemorrhagic complications. Therefore, particular attention should be given to this group of patients when a high-risk procedure such as ERCP is performed.
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Hyun, Jong Jin
Ansan Hospital (Department of Gastroenterology and Hepatology, Ansan Hospital)
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