Abstract

REYES GARAY, Hans  and  TAGLE ARROSPIDE, Martín. Spontaneous Intramural Hematoma of the smal bowel due to use of oral anticoagulants: Case Report and Review of the literature. Rev. gastroenterol. Perú [online]. 2010, vol.30, n.2, pp.158-162. ISSN 1022-5129.

We describe a case of 78 year-old woman under anticoagulant therapy who presented abdominal pain, nauseas, 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.

Keywords : intramural small bowel hematoma; anticoagulant therapy.

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