title: Ileus following spontaneous jejunum intramural hematoma: case report and review of the literature.
abstract: Anticoagulant therapy may cause the onset of a spontaneous intramural hematoma of the small bowel, in the jejunum, ileum or duodenum. A 53-year-old woman on therapy with heparin for previous pulmonary embolism was admitted for abdominal pain and vomit. Computed tomography scan visualized an intramural hematoma of the jejunum causing subtotal obstruction of the intestinal lumen. The patient underwent resection of a part of the jejunum, securing intestinal continuity by a mechanical side-to-side anastomosis. The postoperative course was regular, but the initial anticoagulant therapy was reduced to prevent recurrence. In conclusion, spontaneous hematoma of small bowel can occur as a complication of anticoagulant therapy. The clinical picture and rapid diagnosis indicate medical or surgical therapy.
authors: Facoltà di Medicina e Chirurgia, Universita degli Studi di Palermo, Palermo, Italy.
authors: Gabriele
authors: G
authors: Spinelli
authors: Giuseppe
authors: G
authors: Damiano
authors: Vincenzo Davide
authors: VD
authors: Palumbo
authors: Antonino
authors: A
authors: Sammartano
authors: Carolina
authors: C
authors: Maione
authors: Antonio
authors: A
authors: Marrazzo
authors: Maurizio
authors: M
authors: Bellavia
authors: Rita
authors: R
authors: Barone
authors: Giuseppe
authors: G
authors: Buscemi
authors: Attilio Ignazio
authors: AI
authors: Lo Monte
mesh_terms: D000925:Anticoagulants / Q000009:adverse effects; D005260:Female; D006406:Hematoma / Q000139:chemically induced / Q000150:complications* / Q000601:surgery; D006493:Heparin / Q000009:adverse effects; D006801:Humans; D045823:Ileus / Q000209:etiology*; D007579:Jejunal Diseases / Q000139:chemically induced / Q000150:complications* / Q000601:surgery; D008875:Middle Aged
chemical_list: D000925:Anticoagulants; D006493:Heparin