6533b874fe1ef96bd12d680f

RESEARCH PRODUCT

Ileus Following Spontaneous Jejunum Intramural Hematoma: Case Report and Review of the Literature

Gabriele SpinelliGiuseppe DamianoVincenzo Davide PalumboAntonino SammartanoCarolina MaioneAntonio MarrazzoMaurizio BellaviaRita BaroneGiuseppe BuscemiAttilio Ignazio Lo Monte

subject

digestive oral and skin physiologySpontani intraparijetalni hematom; Antikoagulantna terapija; Crijevna okluzijaSpontaneous intramural hematoma; Anticoagulant therapy; Bowel obstruction

description

Anticoagulant therapy may cause the onset of a spontaneous intramural hematoma 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 hematoma of small bowel can occur as a complication of anticoagulant therapy. The clinical picture and rapid diagnosis indicate medical or surgical therapy.

yearjournalcountryeditionlanguage
2012-01-01Acta clinica Croatica
https://hrcak.srce.hr/file/158037