[A false incisional hernia during coumarin anticoagulation].
This short clinical report presents a case of giant pelvic hematoma with infiltration of the abdominal wall, initially misdiagnosed as incisional hernia by means of the old McBurney laparotomy. The patient, a 56-year-old female, was under chronic coumarin anticoagulation to prevent systemic embolism recurrence (rheumatic polyvalvular disease, atrial fibrillation, and previous brain embolism). On admission, the I.N.R. was 6.6. The risks versus benefits dilemma of chronic oral anticoagulation is briefly commented.
Serviço de Medicina I, Hospital de St. Maria, Faculdade de Medicina, Lisboa.
H M
HM
Gabriel
L M
LM
Falcão
A O
AO
Soares
D000009:Abdominal Muscles / Q000000981:diagnostic imaging; D000925:Anticoagulants / Q000009:adverse effects*; D001062:Appendectomy; D003374:Coumarins / Q000009:adverse effects*; D003937:Diagnosis, Differential; D005260:Female; D006406:Hematoma / Q000139:chemically induced / Q000000981:diagnostic imaging; D006555:Hernia, Ventral / Q000000981:diagnostic imaging*; D006801:Humans; D008875:Middle Aged; D010388:Pelvis / Q000000981:diagnostic imaging; D011183:Postoperative Complications / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed
D000925:Anticoagulants; D003374:Coumarins
Falsa hérnia incisional no decurso de anticoagulação cumarínica.