Preetinder Brar1, Iqbal Singh1, Supreet Kaur1, Rudra Prasad Doley1, Rahat Brar2, Arvind Sahni3, Jai Dev Wig4. 1. Department of General Surgery, Fortis Hospital, Mohali, 160062, Punjab, India. 2. Department of Radiodiagnosis, Fortis Hospital, Mohali, 160062, Punjab, India. 3. Department of Gastroenterology, Fortis Hospital, Mohali, 160062, Punjab, India. 4. Department of General Surgery, Fortis Hospital, Mohali, 160062, Punjab, India. jdwsjni@hotmail.com.
Abstract
BACKGROUND: Spontaneous intramural intestinal hematoma in patients on oral anticoagulation therapy is rare. MATERIALS AND METHODS: Case report. RESULTS: We report a spontaneous intramural jejunal hematoma presenting with small bowel obstruction in a patient who was on oral anticoagulation therapy with acitrom following aortic valve replacement. Contrast-enhanced computed tomography of the abdomen showed findings of intramural hematoma. The patient was successfully managed conservatively. CONCLUSION: Abdominal pain and abnormal coagulation profile in patients on oral anticoagulants should alert the clinician to consider intramural hematoma. Early diagnosis is essential, as patients are successfully managed conservatively with good outcome.
BACKGROUND: Spontaneous intramural intestinal hematoma in patients on oral anticoagulation therapy is rare. MATERIALS AND METHODS: Case report. RESULTS: We report a spontaneous intramural jejunal hematoma presenting with small bowel obstruction in a patient who was on oral anticoagulation therapy with acitrom following aortic valve replacement. Contrast-enhanced computed tomography of the abdomen showed findings of intramural hematoma. The patient was successfully managed conservatively. CONCLUSION:Abdominal pain and abnormal coagulation profile in patients on oral anticoagulants should alert the clinician to consider intramural hematoma. Early diagnosis is essential, as patients are successfully managed conservatively with good outcome.
Entities:
Keywords:
Acitrom; International normalized ratio (INR); Intramural hematoma; Jejunum
Authors: G Palareti; N Leali; S Coccheri; M Poggi; C Manotti; A D'Angelo; V Pengo; N Erba; M Moia; N Ciavarella; G Devoto; M Berrettini; S Musolesi Journal: Lancet Date: 1996-08-17 Impact factor: 79.321