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Posttraumatic gastric wall hematoma in a patient under anticoagulant therapy. Case report and literature review.
MedLine Citation:
PMID:  21655545     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
We report the clinical observation of a 58-year old patient who presented with upper abdominal pain and a small ecchymosis located in the umbilical area. Personal history of the patient revealed ischemic heart disease and chronic atrial fibrillation. He was under treatment with oral anticoagulants (coumarins). The clinical data and especially the imaging investigations led to a diagnosis of gastric wall hematoma, possibly occurring post-traumatically in a patient under anticoagulant treatment. A conservative therapeutic approach was adopted and ultrasound surveillance. After 6 months the gastric parietal collection manifested complete resorption, spontaneously. In relation to the case presentation, we also discuss some issues on the frequency, diagnosis and therapeutic attitude in this rare complication of anticoagulant therapy.
Authors:
Roberta Maria Mânzat Saplacan; Adrian Catinean; Simona Manole; Simona Doina Valean; Romeo Ioan Chira; Petru Adrian Mircea
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Medical ultrasonography     Volume:  13     ISSN:  2066-8643     ISO Abbreviation:  Med Ultrason     Publication Date:  2011 Jun 
Date Detail:
Created Date:  2011-06-09     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101522985     Medline TA:  Med Ultrason     Country:  Romania    
Other Details:
Languages:  eng     Pagination:  165-70     Citation Subset:  IM    
Affiliation:
1st Medical Clinic, Gastroenterology Department,Str. Clinicilor Nr. 3-5, Cluj-Napoca 400006, Romania; Email: petrumircea@yahoo.com.
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