Document Detail


Spontaneous intramural small-bowel hematoma secondary to anticoagulant therapy: a case series.
MedLine Citation:
PMID:  23135686     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Spontaneous small-bowel hematomas most commonly involve the jejunum, followed by the ileum and duodenum, and occur in patients who receive excessive anticoagulation with phenprocoumon/warfarin or who have additional risk factors for bleeding.We report three cases of intramural small-bowel hematoma, all complications of treatment with phenprocoumon, which nowadays is used extensively for therapeutic and prophylactic purposes.Diagnosis can be readily attained by sonography and confirmed using computed tomography. Early diagnosis is crucial because most patients can be treated successfully without surgery.Based on this experience and data from the literature, conservative treatment is recommended for intramural intestinal hematomas, when other complications needing laparotomy have been excluded.
Authors:
A Abdel Samie; R Sun; A Huber; W Höpfner; L Theilmann
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-11-9
Journal Detail:
Title:  Medizinische Klinik, Intensivmedizin und Notfallmedizin     Volume:  -     ISSN:  2193-6226     ISO Abbreviation:  Med Klin Intensivmed Notfmed     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-11-8     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101575086     Medline TA:  Med Klin Intensivmed Notfmed     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Department of Gastroenterology, Pforzheim Hospital, Kanzlerstr. 2-6, 75175, Pforzheim, Deutschland, abdelsamie@ngi.de.
Vernacular Title:
Spontanes intramurales Dünndarmhämatom nach Antikoagulanzientherapie: Fallserie.
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