Endoscopic Hemoclipping of Upper Gastrointestinal Bleeding Secondary to Intramural Gastric Hematoma Following Endoscopic Mucosal Resection. Two Case Reports and Review of the Literature

¹Department of Gastroenterology, Eighth Affiliated Hospital of Guangxi Medical University, Guigang 537100, Guangxi Zhuang Autonomous Region, China.

Corresponding Author: Lei Shi, Department of Gastroenterology, Eighth Affiliated Hospital of Guangxi Medical University, Guigang 537100, Guangxi Zhuang Autonomous Region, China, Tel: +86 775 4200028; E-Mail: [email protected]

Received Date: 29 Sep 2016   
Accepted Date: 19 Oct 2016   
Published Date: 21 Oct 2016

Copyright © 2016 Shi L

Citation: Lei Shi and Fu-Jian L. (2016). Endoscopic Hemoclipping of Upper Gastrointestinal Bleeding Secondary to Intramural Gastric Hematoma Following Endoscopic Mucosal Resection. Two Case Reports and Review of the Literature. Mathews J Case Rep 1(4): 017.

ABSTRACT

Intramural hematoma of the gastrointestinal tract after endoscopic intervention is a rare phenomenon in clinical practice, and it is extremely rare in the stomach. Only a few cases have been reported in this location to date. Although the annual incidence of upper gastrointestinal bleedinghas been increasing, bleeding related to a gastric intramural hematoma as a complication of endoscopic therapy is quite rare. We describe two cases of gastric intramural hematoma caused by endoscopic mucosal resection (EMR) and our experiences with successful endoscopic hemoclipping followed by conservative care to avoid surgery for the severe bleeding. The current cases involved two women who presented with abdominal pain. The patients underwent upper gastrointestinal endoscopy, which revealed polyps 6 mm in diameter in the antrum of the stomach. These lesions were removed by EMR. Soon after EMR, the patients experienced upper gastrointestinal bleeding. Panendoscopic examination showed a large intramural hematoma extending from the lower body to the prepyloric antrum with blood oozing from the original lesion. Hemostasis was successfully performed with endoscopic hemoclips, and additional surgery was avoided.

KEYWORDS

Gastrointestinal Bleeding; Gastric Polyp; Gastric Intramural Hematoma; Endoscopic Mucosal Resection; Complication.