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. 2008 Dec 12;1(1):389.
doi: 10.1186/1757-1626-1-389.

Spontaneous intramural jejunal haematoma: a case report

Rashmi P Birla  1 , Kamal K Mahawar, Elena Yw Saw, Mohamed A Tabaqchali, Philip Woolfall
Affiliations

Spontaneous intramural jejunal haematoma: a case report

Rashmi P Birla et al. Cases J. .

Abstract

Background: Spontaneous intramural intestinal haematoma is a rare complication of anticoagulation therapy. A misdiagnosis may lead to an unnecessary and even hazardous surgical intervention.

Case presentation: An 85 year old lady presented to us with acute abdomen. She was on Warfarin and was found to have grossly deranged clotting parameters. Computed Tomography Scan revealed a long loop of markedly thick-walled proximal jejunum. A diagnosis of spontaneous intramural jejunal haematoma was made.

Conclusion: She was successfully treated with conservative management with Vitamin K and blood products.

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Figures

Figure 1
Figure 1
Axial CT scan. The grossly thickened loop of jejunum on the left side of the abdomen is typical of intramural haematoma.
Figure 2
Figure 2
Reformatted CT scan of intramural haematoma of jejunum. This image reformatted in the coronal plane shows the full extent of the abnormal bowel (arrows). A relatively long segment of abnormal bowel (around 20 cm) is typical. There is free fluid around the spleen in the left upper quadrant.
See this image and copyright information in PMC

References

    1. Grant AH, Brown S, Kaufman JH. Intestinal obstruction during anticoagulant therapy. J Mich Med Soc. 1963;62:678–80. - PubMed
    1. Goldfarb WB. Coumarin-Induced Intestinal Obstruction. Ann Surg. 1965;161:27–34. doi: 10.1097/00000658-196501000-00004. - DOI - PMC - PubMed
    1. Abbas MA, Collins JM, Olden KW. Spontaneous intramural small-bowel hematoma: imaging findings and outcome. AJR Am J Roentgenol. 2002;179:1389–1394. - PubMed
    1. Shaw PH, Ranganathan S, Gaines B. A spontaneous intramural hematoma of the bowel presenting as obstruction in a child receiving Low-Molecular Weight Heparin. Pediatr Hematol Oncol. 2005;27:558–60. doi: 10.1097/01.mph.0000183865.56533.9b. - DOI - PubMed
    1. Bettler S, Montani S, Bachmann F. Incidence of intramural digestive system hematoma in anticoagulation: epidemiologic study and clinical aspects of 59 cases observed in Switzerland (1970–1975) Schweiz Med Wochenschr. 1983;113:630–636. - PubMed

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