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J Korean Soc Emerg Med > Volume 23(3); 2012 > Article
Journal of The Korean Society of Emergency Medicine 2012;23(3): 430-433.
Spontaneous Intramural Intestinal Hematoma: A Rare Complication of Anticoagulation
Jong Seok Lee, Tae Kyung Kang, Sung Chan Oh, Hye Jin Kim, Suk Jin Cho, Seok Yong Ryu
Department of Emergency Medicine, Sanggye Paik Hospital, College of Medicine, Inje University, Seoul, Korea. ryuchoi64@paik.ac.kr
Spontaneous intramural intestinal hematoma is a rare complication resulting from over-anticoagulation. We report on three uncommon cases of spontaneous intramural small bowel hematoma due to oral anticoagulation. The patients received conservative treatment with bowel rest, hydration and vitamin K infusion, and transfusion of fresh frozen plasma (FFP). Computed tomography (CT) scan was performed for diagnostic confirmation. Patients recovered within a few days. Because there are no specific symptoms or clinical signs, diagnosis of this condition is difficult. Therefore, clinical suspicion and experience are important. This case report represents an attempt to share information on this rare condition by presentation of the case and literature review.
Key words: Anticoagulant, Intramural hematoma, Small intestine
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