Abstract
Symptoms of traumatic duodenal intramural hematoma, a rare disease caused by trauma, blood disease, or antithrombotic therapy, can include abdominal pain. Case 1 is that of a 35-year-old man at a gym who dropped a 100 kg barbell on his abdomen. It was diagnosed as a duodenal obstruction caused by a traumatic intestinal wall hematoma. In Case 2, a 16-year-old male adolescent performing deadlift training at a gym had subsequent abdominal pain. It was diagnosed as intestinal wall hematoma. Both patients improved with conservative treatment. Malignancy is sometimes suspected from imaging findings. Detailed patient history and imaging studies can avoid unnecessary surgery.
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Acknowledgements
We thank Sanae Iizuka, Miyako Ishida, and Naoko Nishimoto (Department of Gastroenterology, Dokkyo Medical University) for technical assistance.
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Conceptualization—SK, MK and KT. Manuscript composition and provision of images—SM, KM, SW, TS, MK and KT. Manuscript review—KG and AI. All the authors have read and agreed to the published version of the manuscript.
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Supplementary file1 Computed tomography on day 7 after admission. Abdominal computed tomography showed that the hematoma had shrunk (arrow) (JPG 705 KB)
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Kojimahara, S., Kanazawa, M., Tominaga, K. et al. Symptomatic duodenal intramural hematoma caused by weight training: a report of two cases. Clin J Gastroenterol (2024). https://doi.org/10.1007/s12328-024-01970-7
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DOI: https://doi.org/10.1007/s12328-024-01970-7