Spontaneous intramural jejunal haematoma: a case report.
BACKGROUND
Spontaneous intramural intestinal haematoma is a rare complication of anticoagulation therapy. A misdiagnosis may lead to an unnecessary and even hazardous surgical intervention.


METHODS
An 85 year old lady presented to us with acute abdomen. She was on Warfarin and was found to have grossly deranged clotting parameters. Computed Tomography Scan revealed a long loop of markedly thick-walled proximal jejunum. A diagnosis of spontaneous intramural jejunal haematoma was made.


CONCLUSIONS
She was successfully treated with conservative management with Vitamin K and blood products.
Birla
Rashmi P
RP
Department of General Surgery, University Hospital of North Tees, Hardwick Road, Stockton-on-Tees, Cleveland, UK. kamal_mahawar@hotmail.com.
Mahawar
Kamal K
KK
Saw
Elena Yw
EY
Tabaqchali
Mohamed A
MA
Woolfall
Philip
P