title: Intramural gastrointestinal hemorrhage.
abstract: Intramural gastrointestinal hemorrhage should be suspected in patients taking anticoagulants who develop acute abdominal symptoms with clotting parameters out of the therapeutic range. Likewise, patients with inherent bleeding disorders may present with intramural hemorrhage. Characteristic features are seen on radiological examination; ultrasonography or computed tomography may be valuable noninvasive diagnostic approaches. The diagnosis may be supported by abdominal paracentesis. Surgical intervention is not necessary as conservative treatment, with replacement of clotting factors leading to rapid recovery.
mesh_terms: D000328:Adult; D000925:Anticoagulants / Q000009:adverse effects*; D001466:Barium Sulfate; D001780:Blood Coagulation Tests; D006471:Gastrointestinal Hemorrhage / Q000139:chemically induced / Q000175:diagnosis* / Q000209:etiology; D006467:Hemophilia A / Q000150:complications*; D006801:Humans; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography
chemical_list: D000925:Anticoagulants; D001466:Barium Sulfate