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Case Reports
. 2010 Apr 7;16(13):1680-2.
doi: 10.3748/wjg.v16.i13.1680.

Upper gastrointestinal hemorrhage caused by superwarfarin poisoning

Shu Lei Zhao  1 , Peng Li, Ming Ji, Ye Zong, Shu Tian Zhang
Affiliations
Case Reports

Upper gastrointestinal hemorrhage caused by superwarfarin poisoning

Shu Lei Zhao et al. World J Gastroenterol. .

Abstract

Superwarfarins are a class of rodenticides. Gastrointestinal hemorrhage is a fatal complication of superwarfarin poisoning, requiring immediate treatment. Here, we report a 55-year-old woman with tardive upper gastrointestinal hemorrhage caused by superwarfarin poisoning after endoscopic cold mucosal biopsy.

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Figures

Figure 1
Figure 1
Initial esophagogastroduodenoscopy (EGD) demonstrating normal esophageal mucosa (A) and erosion lesions scattering in the stomach (B).
Figure 2
Figure 2
Second EGD showing submucosal congestion in the esophagus (A), active bleeding in the original biopsy sites (B), and titanium clips used for hemostasis (C).
Figure 3
Figure 3
Final EGD showing the absorbed esophageal submucosal congestion (A) and bleeding in the stomach with titanium clips in good condition (B).
Figure 4
Figure 4
Plain radiography (A) and CT scanning (B) revealing 5 titanium clips in the stomach (arrows).
See this image and copyright information in PMC

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