Obstructive jaundice due to spontaneous duodenal hematoma complicating anticoagulant therapy

Introduction: Duodenal hematoma is an unusual condition. At least, 90% of cases are caused by blunt abdominal trauma, typically accidents involving bicycles or motor vehicles. Intramural duodenal hematoma is a rare complication of anticoagulant therapy. It can lead to biliary obstruction and pancreatitis, and there are no definite guidelines for its management. Methods: A 80-year-old woman was admitted to the hospital due to jaundice, upper abdominal pain, nausea and vomiting. The patient was on phenprocoumon due to chronic atrial fibrillation. Physical examination revealed right upper quadrant tenderness and ja…