A Rare Case of Spontaneous Intramural Small-bowel Hematoma: A Case Report
Journal: Journal of Clinical Medicine Research DOI: 10.32629/jcmr.v5i4.3287
Abstract
Anticoagulant therapy is widely employed as a prophylactic measure and for the treatment of a variety of thromboembolic and coagulation disorders. Due to the numerous potential complications associated with anticoagulants, patients are required to undergo frequent monitoring. Spontaneous intramural small-bowel hematoma (SISBH) is a rare complication of anticoagulation therapy, which may result in intestinal obstruction, ischemia, perforation, and hemorrhagic shock. It is characterized by slow bleeding from the terminal arteries of the submucosa. Through the clinical diagnosis and treatment of a rare case of spontaneous intramural small-bowel hematoma induced by excessive using anticoagulants, our report offers valuable insights for clinicians to prevent severe sequelae of similar conditions.
Keywords
Warfarin; Spontaneous intramural small-bowel hematoma; Anticoagulant
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[3] Hassan A, Habbash Z, Aljawad M, Alnemer F, Alzayer A, AlZaher A. (2024)Warfarin Woes: A Rare Case of Hemoperitoneum with Intramural Small Bowel Hematoma. The American journal of case reports. 25: e943519-e.
[4] Chen B, Tian S, Ren X, Jiang C. (2022)Spontaneous intramural hematoma of the small intestine secondary to warfarin therapy: A rare case series. Asian J Surg. 45: 2133-5.
[5] Samie AA, Theilmann L.( 2012) Detection and management of spontaneous intramural small bowel hematoma secondary to anticoagulant therapy. Expert Review of Gastroenterology & Hepatology. 6: 553-8.
[6] Steinberg BA, Simon DN, Thomas L, et al.( 2017) Management of Major Bleeding in Patients With Atrial Fibrillation Treated With Non-Vitamin K Antagonist Oral Anticoagulants Compared With Warfarin in Clinical Practice (from Phase II of the Outcomes Registry for Better Informed Treatment of Atrial Fibrillation [ORBIT-AF II]). Am J Cardiol. 119: 1590-5.
[7] Patil AS, Shriya, Dhimole N, More J.( 2022) Intramural Jejunal Hematoma Causing Intermittent Bowel Obstruction-A Rare Manifestation of Warfarin Toxicity. Surgery Journal. 08: E290-E2.
[8] Kwon CI, Ko KH, Kim HY, et al. (2009)Bowel obstruction caused by an intramural duodenal hematoma: a case report of endoscopic incision and drainage. J Korean Med Sci. 24: 179-83.
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