Nontraumatic intramural duodenal hematoma can cause upper gastrointestinal tract obstruction, upper gastrointestinal hemorrhage, jaundice, and pancreatitis and may be present in patients with normal coagulation. However the pathogenesis of the condition and its relationship with acute pancreatitis remain unknown. We present a case of spontaneous intramural duodenal hematoma and a case of succes...

Introduction Acute upper haemorrhage (UGIH) is a common medical emergency, with an incidence of up to 150 per 100,000. The incidence is highest in those from the lowest socio-economic groups. Although its incidence is declining, the mortality remains high. A large UK audit of UGIH in 1995 showed that in patients admitted with bleeding as their primary diagnosis the mortality was 11%. In contras...

syndrome and jaundice was significantly improved (Fig. B). Massive bloody stool with hypovolemic shock occurred 5 days later. No abnormalities were observed on esophagogastroduodenoscopy. Colonoscopy revealed a protruding mass with superficial ulceration in the hepatic fracture (Fig. C). What is the most likely diagnosis? Question: An 88-year-old man with a 2-week history of right upper abdomin...

EVIDENCE DEFINITIONS  Class I: Prospective randomized controlled trial.  Class II: Prospective clinical study or retrospective analysis of reliable data. Includes observational, cohort, prevalence, or case control studies.  Class III: Retrospective study. Includes database or registry reviews, large series of case reports, expert opinion.  Technology assessment: A technology study which doe...

EVIDENCE DEFINITIONS  Class I: Prospective randomized controlled trial.  Class II: Prospective clinical study or retrospective analysis of reliable data. Includes observational, cohort, prevalence, or case control studies.  Class III: Retrospective study. Includes database or registry reviews, large series of case reports, expert opinion.  Technology assessment: A technology study which doe...