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自发性空肠壁内血肿：一例报告

Spontaneous intramural jejunal haematoma: a case report.

作者信息

Birla Rashmi P, Mahawar Kamal K, Saw Elena Yw, Tabaqchali Mohamed A, Woolfall Philip

机构信息

Department of General Surgery, University Hospital of North Tees, Hardwick Road, Stockton-on-Tees, Cleveland, UK.

出版信息

Cases J. 2008 Dec 12;1(1):389. doi: 10.1186/1757-1626-1-389.

DOI:10.1186/1757-1626-1-389
PMID:19077259
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2628898/
Abstract

BACKGROUND

Spontaneous intramural intestinal haematoma is a rare complication of anticoagulation therapy. A misdiagnosis may lead to an unnecessary and even hazardous surgical intervention.

CASE PRESENTATION

An 85 year old lady presented to us with acute abdomen. She was on Warfarin and was found to have grossly deranged clotting parameters. Computed Tomography Scan revealed a long loop of markedly thick-walled proximal jejunum. A diagnosis of spontaneous intramural jejunal haematoma was made.

CONCLUSION

She was successfully treated with conservative management with Vitamin K and blood products.

摘要

背景

自发性肠壁内血肿是抗凝治疗的一种罕见并发症。误诊可能导致不必要甚至危险的手术干预。

病例报告

一位85岁女性因急腹症前来就诊。她正在服用华法林，凝血参数严重紊乱。计算机断层扫描显示近端空肠有一长段明显增厚的肠壁。诊断为自发性空肠壁内血肿。

结论

她通过维生素K和血液制品进行保守治疗获得成功。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcaf/2628898/235cafbe94db/1757-1626-1-389-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcaf/2628898/d6cd3894466d/1757-1626-1-389-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcaf/2628898/235cafbe94db/1757-1626-1-389-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcaf/2628898/d6cd3894466d/1757-1626-1-389-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcaf/2628898/235cafbe94db/1757-1626-1-389-2.jpg

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