| Coumarin-induced intramural hematoma of the duodenum: case report and review of the literature. | |
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MedLine Citation:
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PMID: 21073371 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: Intramural hematoma of the small intestine is a complication of anticoagulant treatment with an estimated incidence of 1 case per 2500 anticoagulated patients per year. Patients may present with signs of small bowel obstruction or, in case of a ruptured hematoma, with upper gastrointestinal tract hemorrhage and hypovolemic shock. MATERIAL AND METHODS: Case report and review of the literature. RESULTS: We present a case of a 73-year-old male who was referred for a protruding mass in the duodenum and subsequently developed hematemesis and melena caused by a ruptured hematoma of the duodenal wall. CONCLUSIONS: Although intramural hematoma of the duodenum is a rare complication of anticoagulant therapy, early diagnosis with subsequent correction of coagulation parameters is of vital importance. |
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Authors:
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Bart J Veldt; Jelle Haringsma; Klaas W Florijn; Ernst J Kuipers |
Publication Detail:
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Type: Case Reports; Journal Article; Review Date: 2010-11-14 |
Journal Detail:
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Title: Scandinavian journal of gastroenterology Volume: 46 ISSN: 1502-7708 ISO Abbreviation: Scand. J. Gastroenterol. Publication Date: 2011 Mar |
Date Detail:
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Created Date: 2011-02-08 Completed Date: 2011-06-06 Revised Date: 2011-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0060105 Medline TA: Scand J Gastroenterol Country: England |
Other Details:
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Languages: eng Pagination: 376-9 Citation Subset: IM |
Affiliation:
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Department of Gastroenterology and Hepatology, Erasmus MC-University Medical Center Rotterdam, Rotterdam, The Netherlands. b.veldt@erasmusmc.nl |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Anticoagulants / adverse effects* Coumarins / adverse effects* Duodenum / drug effects*, pathology Gastrointestinal Hemorrhage / chemically induced*, diagnosis Hematemesis / chemically induced Hematoma / chemically induced*, diagnosis Humans Male Melena / chemically induced |
| Chemical | |
Reg. No./Substance:
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0/Anticoagulants; 0/Coumarins; 91-64-5/coumarin |
| Comments/Corrections | |
Comment In:
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Scand J Gastroenterol. 2011 Nov;46(11):1399-400
[PMID:
21644848
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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