| Spontaneous presacral haematoma mimicking rectal malignancy - an unusual consequence of anticoagulation. | |
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MedLine Citation:
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PMID: 22605821 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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An 81-year-old man on warfarin was admitted to hospital after 3 days of constipation, straining and mild rectal bleeding. A large, boggy mass was felt posteriorly on direct rectal examination. Investigations revealed a normocytic anaemia and a supratherapeutic international normalised ratio (INR). Fearing a late presentation of malignancy, an urgent CT of abdomen and pelvis was arranged which showed a homogeneous mass arising between the sacrum and the rectum. Given the anaemia in the presence of anticoagulation, and subsequent widespread perineal and scrotal ecchymosis, the patient was diagnosed with atraumatic presacral haematoma. Following resuscitation, the patient was managed non-operatively and was discharged several days later following stabilisation of the haemoglobin and INR. At 3 months, he had complete clinical and radiological resolution of this haematoma. |
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Authors:
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Tay Za; Stefan Antonowicz; Madhav Menon |
Publication Detail:
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Type: Journal Article Date: 2012-03-27 |
Journal Detail:
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Title: BMJ case reports Volume: 2012 ISSN: 1757-790X ISO Abbreviation: BMJ Case Rep Publication Date: 2012 |
Date Detail:
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Created Date: 2012-05-18 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101526291 Medline TA: BMJ Case Rep Country: England |
Other Details:
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Languages: eng Pagination: - Citation Subset: IM |
Affiliation:
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ITU and Anaesthetics Department, Peterborough City Hospital, Peterborough, Cambridgeshire, UK. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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