[Non-traumatic spontaneous intramural hematoma of the small bowel: an infrequent complication of anticoagulation therapy].
Intramural hematoma of the small bowel is an infrequent complication of the use of oral anticoagulants. Diagnosis can only be performed when these symptoms are associated with a history of oral anticoagulant use and radiological tests. We report the case of a patient admitted for epigastric pain associated with oral anticoagulation therapy with warfarin and a 48-h history of retention vomiting. Ultrasound and abdominal computed tomography scans revealed a jejunal loop with diffuse parietal thickening, suggesting an intramural hematoma. Conservative therapy was provided with symptomatic regression on the second day and reabsorption of the jejunal intramural hematoma. Anticoagulation therapy was reintroduced with no recurrences.
Departamento de Gastroenterología, Hospital Fernando Fonseca, Amadora, Lisboa, Portugal. sarafalberto@gmail.com
Sara Folgado
SF
Alberto
Paula
P
Sánchez
Julieta
J
Felix
João Ramos
JR
Deus
D000368:Aged; D000925:Anticoagulants / Q000009:adverse effects*; D006406:Hematoma / Q000139:chemically induced*; D006801:Humans; D007579:Jejunal Diseases / Q000139:chemically induced*; D008297:Male; D014859:Warfarin / Q000009:adverse effects*
D000925:Anticoagulants; D014859:Warfarin