Retroperitoneal hemorrhagic shock in a patient on warfarin therapy.
Oral anticoagulants are an established treatment modality in the prophylaxis of thromboembolic events in various clinical scenarios. Needless to say that, bleeding is a natural adverse effect of this drug. Most of the times bleeding is inconsequential. But nevertheless massive and fatal bleeding can occur occasionally. The case reported here is rare, as the patient presented with massive hemoperitoneum due to mesenteric hemorrhage and hemorrhagic infarction of small bowel necessitating Laparotomy resection.
Subramanian
Sankar
S
Department of Surgical Gastroenterology, Sri Ramachandra Medical College & Research Institute, Sri Ramachandra University, Porur, Chennai, Tamilnadu, India.
Gounder
Subramanian Marappa
SM
Thirunarayanan
Arunkumar
A
Kannan
Anand
A
Venu
Nandigam
N