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 Croatjournal_title
Acta clinica Croaticaauthors
Spinelli G,Damiano G,Palumbo VD,Sammartano A,Maione C,Marrazzo A,Bellavia M,Barone R,Buscemi G,Lo Monte AIsubject
Has Abstractpub_date
2012-09-01 00:00:00pages
435-9issue
3eissn
0353-9466issn
1333-9451journal_volume
51pub_type
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