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Canadian Journal of Gastroenterology
Volume 20, Issue 1, Pages 39-42
Brief Communication

Duodenal Hematoma following Endoscopic Duodenal Biopsy: A Case Report and Review of the Literature

Daniel R Diniz-Santos,1 Romilda C de Andrade Cairo,1 Hélio Braga,2 Cesar Araújo-Neto,2 Igelmar B Paes,3 and Luciana R Silva1

1Division of Pediatric Gastroenterology and Hepatology, Professor Hosannah Oliveira Pediatric Center, Federal University of Bahia, Brazil
2Division of Radiology, Hospital Aliança, Brazil
3Division of Digestive Endoscopy, Hospital Aliança, Salvador, Brazil

Copyright © 2006 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Duodenal hematoma is a rare complication of endoscopic duodenal biopsy that occurs mainly in children or adults with impaired coagulation. The clinical presentation consists of signs of intestinal obstruction, and pancreatitis and direct hyperbilirubinemia are possible complications caused by ampullary obstruction. A case of a six-year-old girl who presented with a duodenal hematoma and acute pancreatitis after having an endoscopic duodenal biopsy is reported. A review of the literature and data from all similar cases reported so far are briefly presented and discussed.