Uzun Mehmet Ali, Koksal Neset, Gunerhan Yusuf, Sahin Umit Yasar, Onur Ender, Ozkan Omer Faruk
General Surgery Department, Haydarpasa Numune Training and Research Hospital, Istanbul, Turkey.
Eur J Emerg Med. 2007 Oct;14(5):272-3. doi: 10.1097/MEJ.0b013e3282703633.
Warfarin-dependent spontaneous intramural hematoma of the small intestine is a rare complication. The first symptom is usually abdominal pain, frequently accompanied by nausea and vomiting. In some cases, concomitant gastrointestinal bleeding might be seen. Ultrasonography and computed tomography are the most useful radiographic methods for the diagnosis of an intramural hematoma of the intestines. Although it is usually treated conservatively, surgical intervention is required in cases involving active bleeding, intestinal obstruction, or acute abdominal symptoms. Here we present two patients who were treated surgically. Both patients had intestinal obstruction and ischemia, and one had concomitant gastrointestinal bleeding and intussusception due to an intramural hematoma.
华法林相关的小肠自发性壁内血肿是一种罕见的并发症。首发症状通常为腹痛，常伴有恶心和呕吐。在某些情况下，可能会出现胃肠道出血。超声检查和计算机断层扫描是诊断肠壁内血肿最有用的影像学方法。虽然通常采用保守治疗，但在出现活动性出血、肠梗阻或急性腹部症状的情况下需要手术干预。在此，我们介绍两名接受手术治疗的患者。两名患者均有肠梗阻和肠缺血，其中一名患者因壁内血肿伴有胃肠道出血和肠套叠。
