Brief reportAnticoagulant-induced intramural intestinal hematoma
Section snippets
Methods
Between May 1998 and June 2001, a total of 7 cases of spontaneously occuring intestinal hematoma were diagnosed in our ED. The patients were 4 females and 3 males, with a mean age of 61 years (range 44-78 years). All of the patients suffered from abdominal pain, 6 had additional symptoms of nausea and vomiting, and 4 had melanotic stools (Table 1). At admission, the mean duration of the patients complaints was 3 days (range = 1–4 days). All of the 7 patients had overdosage of warfarin sodium;
Discussion
Intramural hematoma of the intestine is an uncommon complication of anticoagulant therapy. Partial or complete bowel obstruction resulting from intramural hematoma is a relatively unusual and poorly understood condition.5 The use of anticoagulants such as warfarin sodium is increasing in many branches of medicine. Anticoagulants enjoy widespread usage, and the incidence of intramural hematoma of the intestine in the setting of anticoagulation is relatively rare (Better, Montani, and Bachmann
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