Gastric intramural hematoma accompanied by severe epigastric pain and hematemesis after endoscopic mucosal resection.

Abstract:

:Gastric intramural hematoma is a rare injury of the stomach, and is most often seen in patients with underlying disease. Such injury following endoscopic therapy is even rarer, and there are no universally accepted guidelines for its treatment. In this case report, we describe a gastric intramural hematoma which occurred within 6 h of endoscopic mucosal resection (EMR). Past medical history of this patient was negative, and laboratory examinations revealed normal coagulation profiles and platelet count. Following EMR, the patient experienced severe epigastric pain and vomited 150 mL of gastric contents which were bright red in color. Subsequent emergency endoscopy showed a 4 cm × 5 cm diverticulum-like defect in the anterior gastric antrum wall and a 4 cm × 8 cm intramural hematoma adjacent to the endoscopic submucosal dissection lesion. Following unsatisfactory temporary conservative management, the patient was treated surgically and made a complete recovery. Retrospectively, one possible reason for the patient's condition is that the arterioles in the submucosa or muscularis may have been damaged during deep and massive submucosal injection. Thus, endoscopists should be aware of this potential complication and improve the level of surgery, especially the skills required for submucosal injection.

journal_name

World J Gastroenterol

authors

Sun P,Tan SY,Liao GH

doi

10.3748/wjg.v18.i47.7127

subject

Has Abstract

pub_date

2012-12-21 00:00:00

pages

7127-30

issue

47

eissn

1007-9327

issn

2219-2840

journal_volume

18

pub_type

杂志文章
  • Cutaneous manifestations in celiac disease.

    abstract::Celiac disease (CD) is an autoimmune gluten-dependent enteropathy characterized by atrophy of intestinal villi that improves after gluten-free diet (GFD). CD is often associated with extra-intestinal manifestations; among them, several skin diseases are described in CD patients. The present review reports all CD-assoc...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章,评审

    doi:10.3748/wjg.v12.i6.843

    authors: Abenavoli L,Proietti I,Leggio L,Ferrulli A,Vonghia L,Capizzi R,Rotoli M,Amerio PL,Gasbarrini G,Addolorato G

    更新日期:2006-02-14 00:00:00

  • Sequencing of systemic treatment for hepatocellular carcinoma: Second line competitors.

    abstract::During the last decades, further knowledge of hepatocellular carcinoma (HCC) molecular mechanisms has led to development of effective systemic treatments including tyrosine kinase inhibitors (TKIs) and immunotherapy. In this review, we describe first and second line systemic treatment options for advanced HCC. Several...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章,评审

    doi:10.3748/wjg.v26.i16.1888

    authors: Piñero F,Silva M,Iavarone M

    更新日期:2020-04-28 00:00:00

  • Infections with Helicobacter pylori and challenges encountered in Africa.

    abstract::Helicobacter pylori (H. pylori) is the causative agent of gastritis, peptic ulcer disease, mucosa associated lymphoid tissue lymphoma and gastric cancer (GC). While this bacterium infects 50% of the world's population, in Africa its prevalence reach as high as 80% as the infection is acquired during childhood. Risk fa...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章,评审

    doi:10.3748/wjg.v25.i25.3183

    authors: Smith S,Fowora M,Pellicano R

    更新日期:2019-07-07 00:00:00

  • Effects of p53 on apoptosis and proliferation of hepatocellular carcinoma cells treated with transcatheter arterial chemoembolization.

    abstract:AIM:To evaluate the effects of p53 on apoptosis and proliferation of hepatocellular carcinoma (HCC) cells treated with transcatheter arterial chemoembolization (TACE). METHODS:A total of 136 patients with HCC received TACE and other management before surgery were divided into TACE group and non-TACE group. TACE group ...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章

    doi:10.3748/wjg.v10.i2.190

    authors: Xiao EH,Li JQ,Huang JF

    更新日期:2004-01-15 00:00:00

  • Hepatocellular carcinoma in nonalcoholic fatty liver: role of environmental and genetic factors.

    abstract::Hepatocellular carcinoma (HCC) is the fourth cause of cancer related mortality, and its incidence is rapidly increasing. Viral hepatitis, alcohol abuse, and exposure to hepatotoxins are major risk factors, but nonalcoholic fatty liver disease (NAFLD) associated with obesity, insulin resistance, and type 2 diabetes, is...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章,评审

    doi:10.3748/wjg.v20.i36.12945

    authors: Dongiovanni P,Romeo S,Valenti L

    更新日期:2014-09-28 00:00:00

  • Chemotherapy beyond second-line in advanced gastric cancer.

    abstract::Patients with advanced gastric cancer (AGC) can be treated with multiple lines of chemotherapy. Although several randomized trials have demonstrated the benefit of second-line chemotherapy compared with best supportive care, there is no evidence that further lines of chemotherapy will result in substantial prolongatio...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章,评审

    doi:10.3748/wjg.v21.i29.8811

    authors: Kim SM,Park SH

    更新日期:2015-08-07 00:00:00

  • Role of oxygen free radicals in patients with acute pancreatitis.

    abstract:AIM:The generation of oxygen free radicals has been implicated in the pathogenesis of experimental pancreatitis. The aim of this study was to determine the role of oxygen free radicals in patients with acute pancreatitis. METHODS:The plasma levels of C-reactive protein (CRP), lipid peroxide (LPO), myeloperoxidase (MPO...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章

    doi:10.3748/wjg.v9.i10.2266

    authors: Park BK,Chung JB,Lee JH,Suh JH,Park SW,Song SY,Kim H,Kim KH,Kang JK

    更新日期:2003-10-01 00:00:00

  • Transjugular intrahepatic portosystemic shunt with accidental diagnosis of persistence of the left superior vena cava.

    abstract::Transjugular intrahepatic portosystemic shunt (TIPSS) is considered a valid therapeutic option for the treatment of portal hypertension and its complications. The guidelines for this procedure have already been established on the basis of the normal vascular anatomy and of various technical radiological aspects. In so...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章

    doi:10.3748/wjg.v16.i9.1158

    authors: Petridis I,Miraglia R,Marrone G,Gruttadauria S,Luca A,Vizzini GB,Gridelli B

    更新日期:2010-03-07 00:00:00

  • Impact of ribavirin dose on retreatment of chronic hepatitis C patients.

    abstract:AIM:To study the efficacy and factors associated with a sustained virological response (SVR) in chronic hepatitis C (CHC) relapsing patients. METHODS:Out of 1228 CHC patients treated with pegylated interferon (PEG-IFN) and ribavirin (RBV), 165 (13%) had a relapse. Among these, 62 patients were retreated with PEG-IFN-α...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章

    doi:10.3748/wjg.v18.i23.2966

    authors: Stern C,Martinot-Peignoux M,Ripault MP,Boyer N,Castelnau C,Valla D,Marcellin P

    更新日期:2012-06-21 00:00:00

  • Outcome of endotherapy for pancreas divisum in patients with acute recurrent pancreatitis.

    abstract:AIM:To assess the rate of relapses of acute pancreatitis (AP), recurrent AP (RAP) and the evolution of endosonographic signs of chronic pancreatitis (CP) in patients with pancreas divisum (PDiv) and RAP. METHODS:Over a five-year period, patients with PDiv and RAP prospectively enrolled were divided into two groups: (1...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章

    doi:10.3748/wjg.v20.i46.17468

    authors: Mariani A,Di Leo M,Petrone MC,Arcidiacono PG,Giussani A,Zuppardo RA,Cavestro GM,Testoni PA

    更新日期:2014-12-14 00:00:00

  • Screening compounds against HCV based on MAVS/IFN-β pathway in a replicon model.

    abstract:AIM:To develop a sensitive assay for screening compounds against hepatitis C virus (HCV). METHODS:The proteolytic cleavage of NS3/4A on enhanced yellow fluorescent protein (eYFP)-mitochondrial antiviral signaling protein (MAVS) was examined by reporter enzyme secreted placental alkaline phosphatase (SEAP), which enabl...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章

    doi:10.3748/wjg.v16.i44.5582

    authors: Fu QX,Wang LC,Jia SZ,Gao B,Zhou Y,Du J,Wang YL,Wang XH,Peng JC,Zhan LS

    更新日期:2010-11-28 00:00:00

  • Microbiota-based treatments in alcoholic liver disease.

    abstract::Gut microbiota plays a key role in the pathogenesis of alcoholic liver disease (ALD). Consumption of alcohol leads to increased gut permeability, small intestinal bacterial overgrowth, and enteric dysbiosis. These factors contribute to the increased translocation of microbial products to the liver via the portal tract...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章,评审

    doi:10.3748/wjg.v22.i29.6673

    authors: Sung H,Kim SW,Hong M,Suk KT

    更新日期:2016-08-07 00:00:00

  • Value of α-fetoprotein in association with clinicopathological features of hepatocellular carcinoma.

    abstract:AIM:To explore the relationship between α-fetoprotein (AFP) and various clinicopathological variables and different staging system of hepatocellular carcinoma (HCC) thoroughly. METHODS:A retrospective cohort study of consecutive patients diagnosed with HCC between January 2008 and December 2009 in West China Hospital ...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章

    doi:10.3748/wjg.v19.i11.1811

    authors: Liu C,Xiao GQ,Yan LN,Li B,Jiang L,Wen TF,Wang WT,Xu MQ,Yang JY

    更新日期:2013-03-21 00:00:00

  • A focus on parietal cells as a renewing cell population.

    abstract::The fact that the acid-secreting parietal cells undergo continuous renewal has been ignored by many gastroenterologists and cell biologists. In the past, it was thought that these cells were static. However, by using (3)H-thymidine radioautography in combination with electron microscopy, it was possible to demonstrate...

    journal_title:World journal of gastroenterology

    pub_type: 社论

    doi:10.3748/wjg.v16.i5.538

    authors: Karam SM

    更新日期:2010-02-07 00:00:00

  • Serological pattern "anti-HBc alone": characterization of 552 individuals and clinical significance.

    abstract:AIM:To investigate the prevalence and clinical significance of "anti-HBc alone" in an unselected population of patients and employees of a university hospital in southern Germany. METHODS:All individuals with the pattern "anti-HBc alone" were registered over a time span of 82 mo. HBV-DNA was measured in serum and live...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章

    doi:10.3748/wjg.v12.i8.1255

    authors: Knöll A,Hartmann A,Hamoshi H,Weislmaier K,Jilg W

    更新日期:2006-02-28 00:00:00

  • Pharmacologic therapy for acute pancreatitis.

    abstract::While conservative management such as fluid, bowel rest, and antibiotics is the mainstay of current acute pancreatitis management, there is a lot of promise in pharmacologic therapies that target various aspects of the pathogenesis of pancreatitis. Extensive review of preclinical studies, which include assessment of t...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章,评审

    doi:10.3748/wjg.v20.i45.16868

    authors: Kambhampati S,Park W,Habtezion A

    更新日期:2014-12-07 00:00:00

  • Correlation between expression of gastrin, somatostatin and cell apoptosis regulation gene bcl-2/bax in large intestine carcinoma.

    abstract:AIM:To explore the correlation between expression of somatostatin (SS), gastrin (GAS) and cell apoptosis regulation gene bcl-2/bax in large intestine carcinoma. METHODS:Sixty-two large intestine cancer tissue samples were randomly and retrospectively selected from patients with large intestine carcinoma. Immunohistoch...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章

    doi:10.3748/wjg.v11.i5.721

    authors: Mao JD,Wu P,Xia XH,Hu JQ,Huang WB,Xu GQ

    更新日期:2005-02-07 00:00:00

  • Early colon cancer within a diverticulum treated by magnifying chromoendoscopy and laparoscopy.

    abstract::We report a unique case of intramucosal carcinoma in a tubulovillous adenoma arising from a single diverticulum. Endoscopic mucosal resection (EMR) was carried out successfully and completely with the assistance of laparoscopy. A 71-year-old man was admitted to our hospital because of melena and anemia. Emergent colon...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章

    doi:10.3748/wjg.v16.i12.1545

    authors: Fu KI,Hamahata Y,Tsujinaka Y

    更新日期:2010-03-28 00:00:00

  • Prospective observational multicenter study to define a diagnostic algorithm for biliary candidiasis.

    abstract:AIM:To develop an algorithm to improve the diagnosis and treatment of patients with biliary candidiasis. METHODS:We performed a prospective study of 127 patients who underwent endoscopic retrograde cholangiopancreatography, for various biliary disorders, at 3 tertiary referral centers in Germany from July 2011 through...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章,多中心研究

    doi:10.3748/wjg.v20.i34.12260

    authors: Lenz P,Eckelskemper F,Erichsen T,Lankisch T,Dechêne A,Lubritz G,Lenze F,Beyna T,Ullerich H,Schmedt A,Domagk D

    更新日期:2014-09-14 00:00:00

  • Anti-Helicobacter pylori therapy significantly reduces Helicobacter pylori -induced gastric mucosal damage in Mongolian gerbils.

    abstract:AIM:To investigate the effectiveness of 4 d' anti-Helicobacter pylori therapy on the H pylori-infected Mongolian gerbils based on physiological and pathological changes. METHODS:We used 6-wk-old male gerbils orally inoculated with H pylori (ATCC43504, 2X10(8) CFU/mL). Seven weeks after H pylori inoculation, the animal...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章

    doi:10.3748/wjg.v11.i7.982

    authors: Chang CC,Chen SH,Lien GS,Lee YJ,Lou HY,Hsieh CR,Fang CL,Pan S

    更新日期:2005-02-21 00:00:00

  • Diagnostic utility of narrow-band imaging endoscopy for pharyngeal superficial carcinoma.

    abstract:AIM:To investigate the endoscopic features of pharyngeal superficial carcinoma and evaluate the utility of narrow-band imaging (NBI) for this disease. METHODS:In the present prospective study, 335 patients underwent conventional white light (CWL) endoscopy and non-magnified/magnified NBI endoscopy, followed by an endo...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章

    doi:10.3748/wjg.v17.i45.4999

    authors: Yoshimura N,Goda K,Tajiri H,Yoshida Y,Kato T,Seino Y,Ikegami M,Urashima M

    更新日期:2011-12-07 00:00:00

  • Hepatocellular carcinoma occurring in a Crohn's disease patient.

    abstract::We report a case of hepatocellular carcinoma (HCC) occurring in a patient with Crohn's disease (CD) without chronic hepatitis or liver cirrhosis, and review the clinicopathological features of HCC in CD patients. A 37-year-old Japanese man with an 8-year history of CD and a medication history of azathioprine underwent...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章

    doi:10.3748/wjg.v16.i25.3215

    authors: Ishida M,Naka S,Shiomi H,Tsujikawa T,Andoh A,Nakahara T,Saito Y,Kurumi Y,Takikita-Suzuki M,Kojima F,Hotta M,Tani T,Fujiyama Y,Okabe H

    更新日期:2010-07-07 00:00:00

  • Tumor growth inhibition effect of hIL-6 on colon cancer cells transfected with the target gene by retroviral vector.

    abstract::AIM:To observe the tumor inhibitory effects by transfecting IL-6 cDNA into colon cancer cell line HT-29 with retroviral vector pZIP cDNA.METHODS:Human IL-6 gene was reconstructed in retrovirus vector and transfected into incasing cells PA317 by lipofectamine mediated method, the clones of the cells transferred with hI...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章

    doi:10.3748/wjg.v6.i1.89

    authors: Xiao B,Jing B,Zhang YL,Zhou DY,Zhang WD

    更新日期:2000-02-01 00:00:00

  • Genetic alterations in benign lesions: chronic gastritis and gastric ulcer.

    abstract:AIM:To investigate the occurrence of chromosome 3, 7, 8, 9, and 17 aneuploidies, TP53 gene deletion and p53 protein expression in chronic gastritis, atrophic gastritis and gastric ulcer, and their association with H pylori infection. METHODS:Gastric biopsies from normal mucosa (NM, n=10), chronic gastritis (CG, n=38),...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章

    doi:10.3748/wjg.v12.i4.625

    authors: Gobbo César AC,de Freitas Calmon M,Cury PM,Caetano A,Borim AA,Silva AE

    更新日期:2006-01-28 00:00:00

  • Ampulla dilation with different sized balloons to remove common bile duct stones.

    abstract:AIM:To assess the outcomes of ampulla dilation with different sized balloons to remove common bile duct (CBD) stones. METHODS:Patients (n = 208) were divided into five groups based on the largest CBD stone size of < 5, 6-8, 8-12, 12-14, and > 14 mm. Patients underwent limited endoscopic sphincterotomy (EST) alone or l...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章

    doi:10.3748/wjg.v19.i6.903

    authors: Li NP,Liu JQ,Zhou ZQ,Ji TY,Cai XY,Zhu QY

    更新日期:2013-02-14 00:00:00

  • Comprehensive screening for reg1alpha gene rules out association with tropical calcific pancreatitis.

    abstract:AIM:To investigate the allelic and haplotypic association of reg1alpha gene with tropical calcific pancreatitis (TCP). Since TCP is known to have a variable genetic basis, we investigated the interaction between mutations in the susceptibility genes, SPINK1 and CTSB with reg1alpha polymorphisms. METHODS:We analyzed th...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章

    doi:10.3748/wjg.v13.i44.5938

    authors: Mahurkar S,Bhaskar S,Reddy DN,Rao GV,Chandak GR

    更新日期:2007-11-28 00:00:00

  • Improvement of type 2 diabetes mellitus after gastric cancer surgery: short-term outcome analysis after gastrectomy.

    abstract:AIM:To evaluate the effect of gastrectomy on diabetes control in patients with type 2 diabetes mellitus and early gastric cancer. METHODS:Data from 64 patients with early gastric cancer and type 2 diabetes mellitus were prospectively collected. All patients underwent curative gastrectomy (36 subtotal gastrectomy with ...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章

    doi:10.3748/wjg.v19.i48.9410

    authors: An JY,Kim YM,Yun MA,Jeon BH,Noh SH

    更新日期:2013-12-28 00:00:00

  • Approach to the endoscopic resection of duodenal lesions.

    abstract::Duodenal polyps or lesions are uncommonly found on upper endoscopy. Duodenal lesions can be categorized as subepithelial or mucosally-based, and the type of lesion often dictates the work-up and possible therapeutic options. Subepithelial lesions that can arise in the duodenum include lipomas, gastrointestinal stromal...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章,评审

    doi:10.3748/wjg.v22.i2.600

    authors: Gaspar JP,Stelow EB,Wang AY

    更新日期:2016-01-14 00:00:00

  • Comparative study of omeprazole, lansoprazole, pantoprazole and esomeprazole for symptom relief in patients with reflux esophagitis.

    abstract:AIM:To clarify whether there is any difference in the symptom relief in patients with reflux esophagitis following the administration of four Proton pump inhibitors (PPIs). METHODS:Two hundred and seventy-four patients with erosive reflux esophagitis were randomized to receive 8 wk of 20 mg omeprazole (n = 68), 30 mg ...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章,随机对照试验

    doi:10.3748/wjg.15.990

    authors: Zheng RN

    更新日期:2009-02-28 00:00:00

  • Pancreatic tumor: DSA diagnosis and treatment.

    abstract::AIM:To study the clinical significance of the diagnosis and catheterized interventional treatment of digital subtraction angiography (DSA) for pancreatic tumors.METHODS: Ninety-two patients with pancreatic tumor, 69 males and 23 females, aged from 41 to 70 years (mean 57.1 years) were diagnosed with DSA. Sixty-one pat...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章

    doi:10.3748/wjg.v4.i1.80

    authors: Xu HB,Zhang YJ,Wei WJ,Li WM,Tu XQ

    更新日期:1998-02-01 00:00:00