title: [Intestinal infarct due to spontaneous mesenterial and intramural anticoagulant hemorrhage].
abstract: A 69-year-old man who had been anticoagulated for 18 months reported with acute pain in the epigastric region. Laparotomy revealed more than 1 liter of unclotted blood in the peritoneal cavity and, in the mesentery of the medium small bowel, a number of fist-size hematomas and a 30 cm long, hemorrhagic, fibrin-coated small bowel segment gangrenously infarcted in the middle section. It is shown why a spontaneous "anticoagulant" hemorrhage must be regarded as the cuase of the gangrenous intestinal infarction.
mesh_terms: D000368:Aged; D000925:Anticoagulants / Q000009:adverse effects*; D006471:Gastrointestinal Hemorrhage / Q000139:chemically induced / Q000150:complications*; D006801:Humans; D007410:Intestinal Diseases / Q000209:etiology*; D007413:Intestinal Mucosa / Q000473:pathology; D007421:Intestine, Small / Q000601:surgery; D008297:Male
chemical_list: D000925:Anticoagulants
vernacular_title: Darminfarkt als Folge einer spontanen mesenterialen und intramuralen Antikoagulantienblutung