Apixaban-induced haematoma causing small bowel intussusception
| Autor: | Jennifer M Rodriguez, Ariel P. Santos, Grace Berry |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
0301 basic medicine
medicine.medical_specialty Exploratory laparotomy Pyridones Deep vein medicine.medical_treatment 030105 genetics & heredity Diagnosis Differential 03 medical and health sciences 0302 clinical medicine Hematoma Intussusception (medical disorder) Atrial Fibrillation Intestine Small medicine Humans Aged business.industry Ileal Diseases General Medicine medicine.disease Thrombosis Pulmonary embolism Surgery Bowel obstruction medicine.anatomical_structure Pyrazoles Apixaban Female business Intussusception 030217 neurology & neurosurgery medicine.drug Findings That Shed New Light on the Possible Pathogenesis of a Disease or an Adverse Effect |
| Zdroj: | BMJ Case Rep |
| ISSN: | 1757-790X |
| Popis: | Apixaban (Eliquis) is a direct acting oral anticoagulant (DOAC) indicated for treatment of deep vein thrombosis, non-valvular atrial fibrillation, pulmonary embolism and postoperative venous thromboprophylaxis following hip or knee replacement. Complications are minimal and include, but are not limited to, bleeding and intracranial haemorrhage, and haematoma formation. Our patient is a 73-year-old woman who presented with clinical and radiographic findings of small bowel obstruction. She was found to be taking apixaban for atrial fibrillation. CT scan showed small bowel intussusception. She underwent an exploratory laparotomy and resection of the small bowel intussusception with primary side-to-side anastomosis. Histopathological examination showed that the intussusception was caused by an intramural haematoma. This case presents a rare instance of adult intussusception caused by a DOAC. To our knowledge, no case of intussusception caused by apixaban has yet been found in literature. |
| Databáze: | OpenAIRE |
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