Recurrent Spontaneous Jejunal Hematomas Resulting in Bowel Obstruction
| Autor: | Christopher J Parr, Amiya Chakraborty, Galia Pollock |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Abdominal pain business.industry Warfarin 030204 cardiovascular system & hematology medicine.disease Surgery Bowel obstruction 03 medical and health sciences 0302 clinical medicine Hematoma INR self-monitoring health services administration medicine heterocyclic compounds 030211 gastroenterology & hepatology In patient cardiovascular diseases medicine.symptom Complication business medicine.drug |
| Zdroj: | Internal Medicine: Open Access. |
| DOI: | 10.35248/2165-8048.19.9.306 |
| Popis: | Spontaneous intramural small bowel hematomas are rare complications of anticoagulation therapy. We present a case of a 71-year-old male presenting to hospital twice with supratherapeutic international normalized ratio (INR) and bowel obstruction, resulting in the diagnosis of recurrent intramural small bowel hematoma. This case illustrates the importance of stringent INR monitoring in those anticoagulated with warfarin and also demonstrates the importance of remaining clinically suspicious for this complication in patients who present with abdominal pain or intestinal obstruction symptoms in the setting of a supratherapeutic INR. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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