Year 2018 / Volume 110 / Number 2
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Spontaneous intramural intestinal hemorrhage due to anticoagulation therapy

123

DOI: 10.17235/reed.2017.5019/2017

Helena Ribeiro, Richard Azevedo, Eduardo Pereira, António Banhudo,

Abstract
An 84-years old woman, medicated with acenocumarol, was admitted to the Emergency Room with lower abdominal pain and nauseas and no history of trauma. She was medicated with acenocumarol and had a non-measurable international normalized ratio. The findings of the bowel ultrasound, ileocolonoscopy and biopsies specimens were suggestive of intramural bleeding of the ileum, ileocecal valve and cecum. Spontaneous intramural bleeding of the gastrointestinal wall associated with oral anticoagulation is rare.
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References
1. Brar P, Singh I, Kaur S. Anticoagulant-induced intramural hematoma of the jejunum. Clin J Gastroenterol 2011; 4:387–390.
2- Fernandes S, Gonçalves AR, Araújo Correia L Spontaneous intramural hematoma of the colon.Rev Esp Enferm Dig. 2016;108(8):501-2.
3. Hou SW, Chen CC, Chen KC, Ko SY et al. Sonographic Diagnosis of Spontaneous Intramural Small Bowel Hematoma in a Case of Warfarin Overdose. J Clin Ultrasound 2008; 36(6):374-6
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Ribeiro H, Azevedo R, Pereira E, Banhudo A. Spontaneous intramural intestinal hemorrhage due to anticoagulation therapy. 5019/2017


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Publication history

Received: 19/04/2017

Accepted: 17/09/2017

Online First: 26/12/2017

Published: 31/01/2018

Article revision time: 141 days

Article Online First time: 251 days

Article editing time: 287 days


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