title: [Spontaneous intramural hematoma of the small bowel due to use of oral anticoagulants: case report and review of the literature].
abstract: We describe a case of 78 year-old woman under anticoagulant therapy who presented abdominal pain, nausea, vomiting and an elevated prothrombin time levels (INR = 9.03). The ultrasound and abdominal CT showed a thickened small bowel wall mainly involving duodenum and jejunum. The endoscopy showed an ecchymotic aspect of duodenum and jejunum. The patient received conservative medical treatment and her symptoms spontaneously subsided.
authors.affiliation: Clínica Anglo Americana, Lima, Perú.
authors.forename: Hans
authors.initials: H
authors.lastname: Reyes Garay
authors.forename: Martín
authors.initials: M
authors.lastname: Tagle Arróspide
mesh_terms: D000006:Abdomen, Acute / Q000209:etiology; D000369:Aged, 80 and over; D000925:Anticoagulants / Q000009:adverse effects* / Q000627:therapeutic use; D015897:Comorbidity; D003937:Diagnosis, Differential; D004378:Duodenal Diseases / Q000139:chemically induced* / Q000000981:diagnostic imaging; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000139:chemically induced* / Q000000981:diagnostic imaging; D006350:Heart Valve Prosthesis; D006406:Hematoma / Q000139:chemically induced* / Q000000981:diagnostic imaging; D006801:Humans; D007418:Intestinal Pseudo-Obstruction / Q000175:diagnosis; D007579:Jejunal Diseases / Q000139:chemically induced*; D011183:Postoperative Complications / Q000139:chemically induced / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography; D014812:Vitamin K / Q000627:therapeutic use; D014859:Warfarin / Q000009:adverse effects* / Q000627:therapeutic use
chemical_list: D000925:Anticoagulants; D014812:Vitamin K; D014859:Warfarin