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World J Gastroenterol. Nov 7, 2013; 19(41): 7205-7208
Published online Nov 7, 2013. doi: 10.3748/wjg.v19.i41.7205
Published online Nov 7, 2013. doi: 10.3748/wjg.v19.i41.7205
Spontaneous intramural duodenal hematoma in type 2B von Willebrand disease
Derrick D Eichele, Meredith Ross, Division of General Internal Medicine, University of Nebraska Medical Center, 985185 Nebraska Medical Center, Omaha, NE 68198-5185, United States
Patrick Tang, Division of Oncology and Hematology, University of Nebraska Medical Center, Omaha, NE 681980-7680, United States
Grant F Hutchins, Mark Mailliard, Division of Gastroentrology and Hepatology, University of Nebraska Medical Center, Omaha, NE 68198-2000, United States
Author contributions: Eichele DD, Ross M and Tang P all contributed to drafting the article and revision of intellectual content; Hutchins GF and Mailliard M both contributed to critical revision of intellectual content; all authors provided final approval to the submitted version of the article.
Correspondence to: Derrick D Eichele, MD, Division of General Internal Medicine, University of Nebraska Medical Center, 985185 Nebraska Medical Center, Omaha, NE 68198-5185, United States. derrick.eichele@unmc.edu
Telephone: +1-402-7094309 Fax: +1-402-5599385
Received: May 12, 2013
Revised: July 21, 2013
Accepted: August 12, 2013
Published online: November 7, 2013
Revised: July 21, 2013
Accepted: August 12, 2013
Published online: November 7, 2013
Core Tip
Core tip: Spontaneous non-traumatic duodenal hematoma has been linked to coagulopathy, but this case includes a rare form of coagulopathy in von Willebrand type 2B. Early identification with computed tomography imaging and treatment of the coagulopathy aided the usage of conservative therapy which allowed the patient to avoid surgical intervention consistent with prior successful cases of duodenal hematomas.