title: Posttraumatic gastric wall hematoma in a patient under anticoagulant therapy. Case report and literature review.
abstract: We report the clinical observation of a 58-year old patient who presented with upper abdominal pain and a small ecchymosis located in the umbilical area. Personal history of the patient revealed ischemic heart disease and chronic atrial fibrillation. He was under treatment with oral anticoagulants (coumarins). The clinical data and especially the imaging investigations led to a diagnosis of gastric wall hematoma, possibly occurring post-traumatically in a patient under anticoagulant treatment. A conservative therapeutic approach was adopted and ultrasound surveillance. After 6 months the gastric parietal collection manifested complete resorption, spontaneously. In relation to the case presentation, we also discuss some issues on the frequency, diagnosis and therapeutic attitude in this rare complication of anticoagulant therapy.
authors.affiliation: 1st Medical Clinic, Gastroenterology Department, Str. Clinicilor Nr. 3-5, Cluj-Napoca 400006, Romania.
authors.forename: Roberta Maria
authors.initials: RM
authors.lastname: Mânzat Saplacan
authors.forename: Adrian
authors.initials: A
authors.lastname: Catinean
authors.forename: Simona
authors.initials: S
authors.lastname: Manole
authors.forename: Simona Doina
authors.initials: SD
authors.lastname: Valean
authors.forename: Romeo Ioan
authors.initials: RI
authors.lastname: Chira
authors.forename: Petru Adrian
authors.initials: PA
authors.lastname: Mircea
mesh_terms: D000925:Anticoagulants / Q000009:adverse effects*; D019160:Endosonography; D006406:Hematoma / Q000139:chemically induced* / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013272:Stomach Diseases / Q000139:chemically induced* / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed
chemical_list: D000925:Anticoagulants