A Case of Gastric Submucosal Hematoma after Epinephrine Submucosal Injection

Mi Kyung Sung, Seong Yong Woo, Byeong Ho Lee, Sung Bae An, Jang Wook Lee, Hyun Jong Oh, Suk Joon Park

Corresponding author (doctorwoo@freechal.com)

Copyright ⓒ 2011. Ewha Womans University School of Medicine. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published Online: Mar 31, 2011

Abstract

With increase of endoscopy, physical trauma including endoscopic procedure can develop gastric submucosal hematoma. Symptoms are usually abdominal pain, vomiting, fever and bloody stool due to upper GI tract obstruction and complications like intestinal obstruction or peritonitis. Diagnosis is usually made by CT, trans-esophageal sonogram and patients with no intestinal obstruction or peritonitis complications and good general condition usually recover with only conservative treatment. Authors have experienced submucosal hematoma developed after submucosal epinephrine injection with intent to uplift distal lesion in gastric polypectomy and improved with conservative treatment.

Keywords: Epinephrine; Hematoma; Injection; Stomach