Acute pancreatitis associated with a nontraumatic, intramural duodenal hematoma

Abstract

Intramural duodenal hematoma is a rare disease, first described in 1838 by MacLauchlan. More than 70 % of intramural duodenal hematomas are secondary to blunt abdominal trauma [1]. Nontraumatic intramural duodenal hematoma was first reported by Sutherland in 1904 and is associated with anticoagulation (most commonly) or antiplatelet therapy, coagulation disorders, and endoscopic hemostasis. An association between intramural duodenal hematoma and acute pancreatitis has been rarely reported [2].