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Canadian Journal of Gastroenterology
Volume 23, Issue 1, Pages 19-22
http://dx.doi.org/10.1155/2009/503129
Brief Communication

Gastric Intramural Hematoma: A Case Report and Literature Review

Vivek Dhawan,1 Ahmed Mohamed,2 and Richard N Fedorak2

1Department of Internal Medicine, University of Alberta, Edmonton, Alberta, Canada
2Division of Gastroenterology, University of Alberta, Edmonton, Alberta, Canada

Received 24 July 2008; Accepted 18 August 2008

Copyright © 2009 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.

Abstract

Intramural hematoma of the gastrointestinal tract is an uncommon occurrence, with the majority being localized to the esophagus or duodenum. Hematoma of the gastric wall is very rare, and has been described most commonly in association with coagulopathy, peptic ulcer disease, trauma, and amyloid-associated microaneurysms. A case of massive gastric intramural hematoma, secondary to anticoagulation therapy, and a gastric ulcer that was successfully managed with conservative therapy, is presented. A literature review of previously reported cases of gastric hematoma is also provided.