香豆素诱导的十二指肠壁内血肿：病例报告及文献复习
Coumarin-induced intramural hematoma of the duodenum: case report and review of the literature.
作者信息
Veldt Bart J, Haringsma Jelle, Florijn Klaas W, Kuipers Ernst J
机构信息
Department of Gastroenterology and Hepatology, Erasmus MC-University Medical Center Rotterdam, Rotterdam, The Netherlands.
出版信息
Scand J Gastroenterol. 2011 Mar;46(3):376-9. doi: 10.3109/00365521.2010.531484. Epub 2010 Nov 14.
OBJECTIVE
Intramural hematoma of the small intestine is a complication of anticoagulant treatment with an estimated incidence of 1 case per 2500 anticoagulated patients per year. Patients may present with signs of small bowel obstruction or, in case of a ruptured hematoma, with upper gastrointestinal tract hemorrhage and hypovolemic shock.
MATERIAL AND METHODS
Case report and review of the literature.
RESULTS
We present a case of a 73-year-old male who was referred for a protruding mass in the duodenum and subsequently developed hematemesis and melena caused by a ruptured hematoma of the duodenal wall.
CONCLUSIONS
Although intramural hematoma of the duodenum is a rare complication of anticoagulant therapy, early diagnosis with subsequent correction of coagulation parameters is of vital importance.
目的
小肠壁内血肿是抗凝治疗的一种并发症，估计每年每2500例接受抗凝治疗的患者中发生1例。患者可能表现为小肠梗阻的症状，或者在血肿破裂的情况下，出现上消化道出血和低血容量性休克。
材料与方法
病例报告及文献复习。
结果
我们报告一例73岁男性患者，因十二指肠有突出肿物前来就诊，随后因十二指肠壁血肿破裂出现呕血和黑便。
结论
尽管十二指肠壁内血肿是抗凝治疗的罕见并发症，但早期诊断并随后纠正凝血参数至关重要。
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