6533b837fe1ef96bd12a23cf
RESEARCH PRODUCT
Ileus following spontaneous jejunum intramural hematoma: case report and review of the literature.
Gabriele SpinelliGiuseppe DamianoVincenzo Davide PalumboAntonino SammartanoCarolina MaioneAntonio MarrazzoMaurizio BellaviaBarone RitaGiuseppe BuscemiAttilio Ignazio Lo Montesubject
HematomaHeparinSpontaneous intramural hematomaAnticoagulantsJejunal DiseasesMiddle AgedSettore MED/15 - Malattie Del SangueSettore MED/18 - Chirurgia GeneraleIleusHumansFemaleSpontaneous intramural hematoma; Anticoagulant therapy; Bowel obstructionAnticoagulant therapyBowel obstructiondescription
Anticoagulant therapy may cause the onset of a spontaneous intramural hema- toma of the small bowel, in the jejunum, ileum or duodenum. A 53-year-old woman on therapy with heparin for previous pulmonary embolism was admitted for abdominal pain and vomit. Computed tomography scan visualized an intramural hematoma of the jejunum causing subtotal obstruction of the intestinal lumen. The patient underwent resection of a part of the jejunum, securing intestinal continuity by a mechanical side-to-side anastomosis. The postoperative course was regular, but the initial anticoagulant therapy was reduced to prevent recurrence. In conclusion, spontaneous hema- toma of small bowel can occur as a complication of anticoagulant therapy. The clinical picture and rapid diagnosis indicate medical or surgical therapy.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2013-01-22 |