Large intramural hematoma and gastric ulcer after EMR of a small gastric polyp

A 59-year-old man underwent EMR of a 1-cm sessile polyp at the gastric antrum. He had a history of coronary artery disease, chronic kidney disease (creatinine, 460 μmol/L), and compensated liver cirrhosis (platelet count, 144 × 109/L; prothrombin time, 14 s; international normalized ratio, 1.35). He took clopidogrel, which was discontinued 1 week before EMR. We used the inject-and-cut EMR technique and injected the submucosa with 5 mL of saline solution. A small nonexpanding purplish bulge developed after injection (A).
Source: Gastrointestinal Endoscopy - Category: Gastroenterology Authors: Tags: At the focal point Source Type: research

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Source: Journal of Vascular Surgery - Category: Surgery Authors: Tags: Clinical research study Source Type: research
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Source: Gastrointestinal Endoscopy - Category: Gastroenterology Authors: Source Type: research
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Source: Current Otorhinolaryngology Reports - Category: ENT & OMF Source Type: research
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