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KMID : 1011920120130040037
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International Journal of Arrhythmia
2012 Volume.13 No. 4 p.37 ~ p.41
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Spontaneous Intramural Hematoma of the Small Bowel after Oral Anticoagulation Therapy
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Lee Young-Soo
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Abstract
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A 67-year-old woman was admitted to our institution for abrupt-onset abdominal pain. She had been undergoing aspirin and clopidogrel therapy for 8 years because of cerebellar infarction and oral anticoagulation therapy for 1 year because of atrial fibrillation. On admission, her international normalized ratio (INR) was found to be 5.26. An abdomen radiograph showed bowel gas with ileus and a free air level, and abdominal computed tomography (CT) showed an intramural hematoma in the small bowel. After conservative management for 7 days, her symptoms subsided and the follow-up simple radiograph and CT scan demonstrated resolution of the intramural hematoma.
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KEYWORD
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anti-coagulation, intramural hematoma
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