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KMID : 0385920120230030430
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Journal of the Korean Society of Emergency Medicine
2012 Volume.23 No. 3 p.430 ~ p.433
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Spontaneous Intramural Intestinal Hematoma: A Rare Complication of Anticoagulation
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Lee Jong-Seok
Kang Tae-Kyung
Oh Sung-Chan
Kim Hye-Jin
Cho Suk-Jin
Ryu Seok-Yong
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Abstract
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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.
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KEYWORD
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Anticoagulant, Intramural hematoma, Small intestine
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