[Spontaneous intramural hematoma of the small bowel due to use of oral anticoagulants: case report and review of the literature]

Abstract

We describe a case of 78 year-old woman under anticoagulant therapy who presented abdominal pain, nausea, vomiting and an elevated prothrombin time levels (INR = 9.03). The ultrasound and abdominal CT showed a thickened small bowel wall mainly involving duodenum and jejunum. The endoscopy showed an ecchymotic aspect of duodenum and jejunum. The patient received conservative medical treatment and her symptoms spontaneously subsided.