Ileus following spontaneous jejunum intramural hematoma: case report and review of the literature.

Abstract:

:Anticoagulant therapy may cause the onset of a spontaneous intramural hematoma of the small bowel, in the jejunum, ileum or duodenum. A 53-year-old woman on therapy with heparin for previous pulmonary embolism was admitted for abdominal pain and vomit. Computed tomography scan visualized an intramural hematoma of the jejunum causing subtotal obstruction of the intestinal lumen. The patient underwent resection of a part of the jejunum, securing intestinal continuity by a mechanical side-to-side anastomosis. The postoperative course was regular, but the initial anticoagulant therapy was reduced to prevent recurrence. In conclusion, spontaneous hematoma of small bowel can occur as a complication of anticoagulant therapy. The clinical picture and rapid diagnosis indicate medical or surgical therapy.

journal_name

Acta Clin Croat

journal_title

Acta clinica Croatica

authors

Spinelli G,Damiano G,Palumbo VD,Sammartano A,Maione C,Marrazzo A,Bellavia M,Barone R,Buscemi G,Lo Monte AI

subject

Has Abstract

pub_date

2012-09-01 00:00:00

pages

435-9

issue

3

eissn

0353-9466

issn

1333-9451

journal_volume

51

pub_type

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