Lobo Lancelot, Koudki Rakesh, Prasad Hl Kishan, Shetty Balakrishna
Assistant Professor, Department of General Surgery.
J Clin Diagn Res. 2013 Apr;7(4):739-41. doi: 10.7860/JCDR/2013/5283.2899. Epub 2013 Feb 20.
A spontaneous, intramural, intestinal haematoma is a rare complication of the anticoagulant therapy. We are reporting here, a rare case of a 63-years-old male, who presented with intestinal obstruction which was caused by an intramural and a submucosal colonic haematoma, which had resulted from warfarin administration. This patient rapidly improved after taking conservative treatment. A history of anticoagulant use with a prolonged INR value in patients who present with abdominal pain, should alert the physicians or surgeons to search for this entity. It is extremely important to recognize this syndrome at its early stages, to avoid an unnecessary operation, since the outcome is usually excellent after a conservative treatment.
自发性肠壁内肠血肿是抗凝治疗的一种罕见并发症。我们在此报告一例罕见病例,一名63岁男性,因华法林治疗导致肠壁内和黏膜下结肠血肿,进而出现肠梗阻。该患者经保守治疗后迅速好转。对于有腹痛症状且使用过抗凝剂、国际标准化比值(INR)延长的患者,医生或外科医生应警惕排查这种情况。在早期阶段识别该综合征以避免不必要的手术极为重要,因为保守治疗后的预后通常良好。