title: Anticoagulant-induced intramural hematoma of the jejunum.
abstract: BACKGROUND
  Spontaneous intramural intestinal hematoma in patients on oral anticoagulation therapy is rare.
  
  
  METHODS
  Case report.
  
  
  RESULTS
  We report a spontaneous intramural jejunal hematoma presenting with small bowel obstruction in a patient who was on oral anticoagulation therapy with acitrom following aortic valve replacement. Contrast-enhanced computed tomography of the abdomen showed findings of intramural hematoma. The patient was successfully managed conservatively.
  
  
  CONCLUSIONS
  Abdominal pain and abnormal coagulation profile in patients on oral anticoagulants should alert the clinician to consider intramural hematoma. Early diagnosis is essential, as patients are successfully managed conservatively with good outcome.
authors.affiliation: Department of General Surgery, Fortis Hospital, Mohali, 160062, Punjab, India.
authors.forename: Preetinder
authors.initials: P
authors.lastname: Brar
authors.affiliation: Department of General Surgery, Fortis Hospital, Mohali, 160062, Punjab, India.
authors.forename: Iqbal
authors.initials: I
authors.lastname: Singh
authors.affiliation: Department of General Surgery, Fortis Hospital, Mohali, 160062, Punjab, India.
authors.forename: Supreet
authors.initials: S
authors.lastname: Kaur
authors.affiliation: Department of General Surgery, Fortis Hospital, Mohali, 160062, Punjab, India.
authors.forename: Rudra Prasad
authors.initials: RP
authors.lastname: Doley
authors.affiliation: Department of Radiodiagnosis, Fortis Hospital, Mohali, 160062, Punjab, India.
authors.forename: Rahat
authors.initials: R
authors.lastname: Brar
authors.affiliation: Department of Gastroenterology, Fortis Hospital, Mohali, 160062, Punjab, India.
authors.forename: Arvind
authors.initials: A
authors.lastname: Sahni
authors.affiliation: Department of General Surgery, Fortis Hospital, Mohali, 160062, Punjab, India. jdwsjni@hotmail.com.
authors.forename: Jai Dev
authors.initials: JD
authors.lastname: Wig
keywords: Acitrom; International normalized ratio (INR); Intramural hematoma; Jejunum