Small intestinal obstruction caused by intramural small-bowel hematoma due to the use of warfarin

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Intramural small bowel hematoma is a rare complication which occurs often due to anticoagulant therapy and can be improved usually with conservative treatment without surgery. In some urgent conditions such as necrosis, perforation or complete obstruction of the bowel may require surgical intervention. In this study, we present a 57-year old case with proximal small bowel obstruction which was caused by a spontaneous intramural hematoma due to use of anticoagulant therapy. The medical history of patients with acute abdominal pain should be documented carefully in terms of the use of anticoagulant drugs and intramural small-bowel hematoma should be considered in the differential diagnosis.

135

Intramural hematoma , intestinal obstruction , anticoagulant

Ege Journal Of Medicine

137

Ege Journal Of Medicine