Small bowel obstruction due to intramural hematoma during anticoagulant therapy. With regard to two cases treated conservatively.
Hemorrhage following prolonged oral anticoagulant administrations is a well recognized hazard of therapy, and hemorrhagic complications are said to occur in 10-30% of patients. Following the presentation of the cases, the authors examine the current literature concerning the problems with anticoagulants, and recommend models of diagnosis and treatment of complications by bowel obstruction. Authors report on two cases of small bowel obstruction due to intramural hematoma during anticoagulant therapy. It is extremely important to recognize this syndrome in order to avoid unnecessary operative intervention. Therefore, laparotomy is not indicated.
D'Abbicco
Dario
D
D.A.C.T.I., Sezione di Chirurgia Generale, Vascolare e Oncologia Clinica Università degli Studi di Bari.
Margari
Antonio
A
Amoruso
Michele
M
Notarnicola
Annarita
A
Casagranda
Biagio
B
Basile
Raffaella
R
Magliocca
Mariangela
M
D000368:Aged; D000925:Anticoagulants / Q000009:adverse effects*; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000139:chemically induced / Q000150:complications* / Q000628:therapy; D006406:Hematoma / Q000139:chemically induced / Q000150:complications* / Q000628:therapy; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology* / Q000628:therapy; D007579:Jejunal Diseases / Q000209:etiology* / Q000628:therapy; D008297:Male
D000925:Anticoagulants