Document Detail


Sonographic diagnosis of spontaneous intramural small bowel hematoma in a case of warfarin overdose.
MedLine Citation:
PMID:  18196594     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 38-year-old man who had been treated with warfarin since mitral valve replacement 10 years earlier presented with acute onset of epigastralgia and melena. Coagulation tests were abnormal with a prolonged prothrombin time of >60 seconds and a prolonged activated partial thromboplastin time of >120 seconds. Abdominal sonographic examination revealed duodenal intramural hematoma that was confirmed on CT. Warfarin therapy was stopped and the patient was treated conservatively with vitamin K and fresh frozen plasma. Recovery was uneventful, and the patient was re-warfarinized 2 weeks later. Duodenal hematoma can be readily diagnosed with bedside sonography.
Authors:
Sheng-Wen Hou; Chien-Chih Chen; Kuo-Chih Chen; Shih-Yu Ko; Chung-Shun Wong; Chee-Fah Chong
Related Documents :
18155514 - Marfan syndrome-diagnosis and management.
11139944 - Mitral regurgitation protects from left atrial thrombogenesis in patients with mitral v...
476874 - Comparison of m-mode and cross-sectional echocardiography in infective endocarditis.
21122834 - Decreased concentrations of pigment epithelium-derived factor in peritoneal fluid of pa...
19640524 - Eus-guided fna of solid pancreatic masses: a prospective, randomized trial comparing 22...
17369714 - Nutritional therapy for patients undergoing hemodialysis.
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of clinical ultrasound : JCU     Volume:  36     ISSN:  1097-0096     ISO Abbreviation:  J Clin Ultrasound     Publication Date:    2008 Jul-Aug
Date Detail:
Created Date:  2008-06-09     Completed Date:  2008-10-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0401663     Medline TA:  J Clin Ultrasound     Country:  United States    
Other Details:
Languages:  eng     Pagination:  374-6     Citation Subset:  IM    
Copyright Information:
(c) 2008 Wiley Periodicals, Inc.
Affiliation:
Emergency Department, Shin-Kong Wu Ho-Su Memorial Hospital, No. 95 Wen Chang Rd, Shi Lin District, Taipei 111, Taiwan, ROC.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Anticoagulants / poisoning*
Diagnosis, Differential
Gastrointestinal Hemorrhage / chemically induced*,  therapy,  ultrasonography*
Hematoma / chemically induced*,  therapy,  ultrasonography*
Humans
Intestine, Small*
Male
Overdose
Warfarin / poisoning*
Chemical
Reg. No./Substance:
0/Anticoagulants; 81-81-2/Warfarin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Exploring the scope of redox-triggered chiroptical switches: syntheses, X-ray structures, and circul...
Next Document:  Effects of diffuse fatty infiltration of the liver on portal vein flow hemodynamics.