Leonardo G, Catracchia V, Molina A, Bengochea J M, Heredero J M, Lòpez A, Gòmez O, Bezzi M
Università degli Studi di Roma La Sapienza, Policlinico Umberto I, Dipartimento di Chirurgia General F. Durante, IV Scuola di Specializzazione in Chirurgia Generale, Rome.
G Chir. 2008 Oct;29(10):421-3.
The haemoperitoneum and bowel haematoma are complications of the oral anticoagulant treatment. The abdominal pain in patient under oral anticoagulant drugs represents a diagnostic problem; apart of the acute abdomen, we also have to consider unusual haemorrhagic lesion, rare in patients without coagulation problems. The early diagnosis of the complication in the patients permits a conservative treatment with excellent prognosis, instead of performing surgical operations in subjects with frequent comorbidities. We report a case of haemoperitoneum and intramural bowel haematoma in a patient with altered laboratory parameters and haemodynamic instability that required an urgent surgical procedure.
