Laparotomy for a patient with warfarin-induced large bowel obstruction.
Many commonly prescribed drugs can interact with warfarin and prolong bleeding time beyond therapeutic limits. We report a patient who developed a rectus sheath haematoma following inadvertent over anticoagulation. Despite conservative management, the patient went on to develop large bowel obstruction from the expanding haematoma and operative intervention became necessary.
Department of General Surgery, Monklands Hospital, Glasgow, Scotland, UK. s.pericleous@imperial.ac.uk
S
S
Pericleous
N
N
Maguire
J G
JG
Cumming
D000368:Aged; D000925:Anticoagulants / Q000009:adverse effects*; D005260:Female; D006406:Hematoma / Q000139:chemically induced* / Q000150:complications; D006801:Humans; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D011859:Radiography; D017568:Rectus Abdominis; D012810:Sigmoid Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D014859:Warfarin / Q000009:adverse effects*
D000925:Anticoagulants; D014859:Warfarin