| Spontaneous intramural hematoma of the small intestine. | |
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MedLine Citation:
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PMID: 20517773 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Spontaneous intramural hematoma of the small intestine is a rare clinical condition that may result in potentially serious complications. The purpose of this study was to present our experience with the diagnosis and management of spontaneous intramural hematoma of the small intestine. METHODS: The medical records of the patients with spontaneous intramural hematoma of the small intestine were retrospectively reviewed. Six patients were included in this study. RESULTS: Anticoagulation therapy and factor VIII deficiency were found to be responsible for the intramural hemorrhage in five patients (83%) and one patient, respectively. Acute abdominal pain followed by nausea and vomiting were the most common presenting symptoms. Abdominal computed tomography scan was diagnostic in five of the six patients. Four patients were followed up with conservative therapy. Surgical intervention was required in two patients due to acute abdomen. All patients were discharged from the hospital uneventfully. CONCLUSION: The patient's medical history, physical examination and radiological evaluation proved adequate for the diagnosis. Conservative therapy provides regression of the hematoma in most patients. Surgery should be reserved only for the complicated cases. |
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Authors:
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Sinan Carkman; Volkan Ozben; Kaya Saribeyoğlu; Erkan Somuncu; Sabri Ergüney; Uğur Korman; Salih Pekmezci |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES Volume: 16 ISSN: 1306-696X ISO Abbreviation: Ulus Travma Acil Cerrahi Derg Publication Date: 2010 Mar |
Date Detail:
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Created Date: 2010-06-02 Completed Date: 2010-08-20 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101274231 Medline TA: Ulus Travma Acil Cerrahi Derg Country: Turkey |
Other Details:
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Languages: eng Pagination: 165-9 Citation Subset: IM |
Affiliation:
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Department of General Surgery, Istanbul University, Cerrahpaşa Faculty of Medicine, Istanbul, Turkey. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Anticoagulants / therapeutic use Aspirin / therapeutic use Hematoma / drug therapy, pathology*, radiography, surgery Hemophilia A / diagnosis Humans Intestinal Diseases / drug therapy, pathology*, radiography, surgery Intestine, Small / pathology*, radiography, surgery Male Middle Aged Retrospective Studies Tomography, X-Ray Computed Treatment Outcome Warfarin / therapeutic use |
| Chemical | |
Reg. No./Substance:
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0/Anticoagulants; 50-78-2/Aspirin; 81-81-2/Warfarin |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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