A rare cause of duodenal obstruction: Intramural hematoma

• Main Authors: Gokcen Coban, Bilal Egemen Cifci, Savas Gokturk, Ayse Gulhan Kanat Unler, Erkan Yildirim
• Format: Article
• Language: English
• Published: Cukurova University 2014-06-01
• Series: Çukurova Üniversitesi Tıp Fakültesi Dergisi
• Subjects: acute abdominal pain; computed tomography; intramural hematoma; small bowel; warfarin
• Online Access: http://www.scopemed.org/fulltextpdf.php?mno=152317

Small bowel obstruction due to intramural hematoma secondary to anticoagulant therapy is a rare complication. Other risk factors include hemophilia, idiopathic thrombocytopenic purpura, leukemia, lymphoma, myeloma, chemotherapy, vasculitis, pancreatitis, and pancreatic cancer. The presentation of patients is usually with abdominal pain, nause and vomiting. The patients who were admitted to the emergency clinic with acute abdominal pain and had a history of anticoagulant use with prolonged international normalized ratios should alert to search for intraabdominal hematoma. Herein, we present a patient who was admitted to the emergency clinic with acute abdominal pain, severe nausea and vomiting, and diagnosed by abdominal computed tomography. [Cukurova Med J 2014; 39(3.000): 650-653]