Reyes Garay Hans, Tagle Arróspide Martín
Clínica Anglo Americana, Lima, Perú.
Rev Gastroenterol Peru. 2010 Apr-Jun;30(2):158-62.
We describe a case of 78 year-old woman under anticoagulant therapy who presented abdominal pain, nausea, vomiting and an elevated prothrombin time levels (INR = 9.03). The ultrasound and abdominal CT showed a thickened small bowel wall mainly involving duodenum and jejunum. The endoscopy showed an ecchymotic aspect of duodenum and jejunum. The patient received conservative medical treatment and her symptoms spontaneously subsided.
我们描述了一例78岁接受抗凝治疗的女性患者，她出现腹痛、恶心、呕吐，凝血酶原时间水平升高（国际标准化比值=9.03）。超声和腹部CT显示小肠壁增厚，主要累及十二指肠和空肠。内镜检查显示十二指肠和空肠有瘀斑样外观。患者接受了保守治疗，症状自行缓解。
