Warfarin Poisoning and Blunt Abdominal Trauma: A Rare Cause of Small Bowel Obstruction
| Autor: | Jane H Yeo, Michael E. Shapiro, Claire Terez, Aziz M. Merchant |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Perforation (oil well) 030204 cardiovascular system & hematology coagulopathy 03 medical and health sciences 0302 clinical medicine Hematoma Blunt Coagulopathy medicine intestine business.industry hematoma General Engineering Warfarin Hematology medicine.disease Surgery warfarin Bowel obstruction sbo trauma Abdominal trauma General Surgery small bowel obstruction Complication business 030217 neurology & neurosurgery medicine.drug |
| Zdroj: | Cureus |
| ISSN: | 2168-8184 |
| DOI: | 10.7759/cureus.13603 |
| Popis: | Intestinal intramural hematomas are a rare complication of blunt abdominal trauma in the setting of anticoagulation. A 52-year-old male presented to our surgical service with high-grade small bowel obstruction secondary to an extensive small bowel intramural hematoma requiring resection. The patient sustained a blunt abdominal assault several days earlier and workup revealed severe coagulopathy likely secondary to overexposure to a warfarin-based substance. Few cases have been reported on coagulopathic traumatic small bowel hematomas causing small bowel obstruction. Current literature suggests non-operative management can be used safely; however, operative intervention is warranted if there are signs of ischemia or perforation. This case highlights the importance of a high index of suspicion, thorough investigation, and prompt intervention to avoid significant morbidity in small bowel obstruction secondary to intramural traumatic hematoma. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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