Intramural duodenal hematoma presenting as a complication of peptic ulcer disease

We report the first case in the English literature of an intramural duodena l hematoma presenting as a complication of Helicobacter pylori-induced pept ic ulcer disease. Intramural duodenal hematomas have been previously descri bed in patients-usually in the setting of blunt trauma, postendoscopic biop sy gastrostomy placement, and hemostatic therapy and in patients with a coa gulopathy or bleeding diathesis-but not as a presentation of peptic ulcer d isease. It is important to recognize this complication, as surgical managem ent may benefit patients with a duodenal hematoma.