Intramural duodenal hematoma and hemoperitoneum after endoscopic treatment in a patient with chronic renal failure on hemodialysis: A case report

Introduction: An intramural duodenal hematoma is a rare but recognized complication that usually develops after abdominal trauma, predominantly in children and young adults. Case Presentation: we report the case of a patient that developed an intramural duodenal hematoma after endoscopic treatment for a bleeding ulcer who also was undergoing conventional hemodialysis for chronic renal failure associated with lupus nephritis. A hemoperitoneum and neartotal duodenal obstruction developed but spontaneously resolved with conservative treatment. Conclusion: clinicians should be aware of such possible complications after endoscopic hemostasis in patients with coagulation disorders.