[Acute abdomen in anticoagulated patients. Its assessment and the surgical indications].
Bleeding complications associated with anticoagulant drugs can development abdominal pain simulating acute surgical conditions of abdomen. We report six cases of intraabdominal spontaneous haemorrhage presenting as an acute abdomen in patients on anticoagulant therapy: two rectus sheath hematomas, a abdominal wall hematoma, a spontaneous hemoperitoneum, a retroperitoneal hematoma and an intramural hematoma of the small bowel. The article conclude that computed tomography examination provided useful information in this complications because can demonstrate the size and location of the mass and its relation to normal intra-abdominal structures. Finally, authors expose the surgical indications of the different bleeding syndromes in this patients.
Acea Nebril
B
B
Servicio de Cirugía General A, Hospital Juan Canalejo, La Coruña.
Taboada Filgueira
L
L
Sánchez González
F
F
Freire Rodríguez
D
D
Fraguela Mariña
J
J
Aguirrezabalaga González
J
J
Gómez Freijoso
C
C
D000006:Abdomen, Acute / Q000139:chemically induced* / Q000175:diagnosis / Q000601:surgery; D000368:Aged; D000925:Anticoagulants / Q000009:adverse effects*; D003131:Combined Modality Therapy; D004630:Emergencies; D017809:Fatal Outcome; D005260:Female; D006470:Hemorrhage / Q000139:chemically induced / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged
D000925:Anticoagulants
Abdomen agudo en pacientes anticoagulados. Valoración e indicaciones quirúrgicas.