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抗凝剂所致肠壁内血肿引起的结肠梗阻;1例罕见病例报告

Colon Obstruction due to an Anticoagulant Induced Intramural Haematoma; A Rare Case Report.

作者信息

Lobo Lancelot, Koudki Rakesh, Prasad Hl Kishan, Shetty Balakrishna

机构信息

Assistant Professor, Department of General Surgery.

出版信息

J Clin Diagn Res. 2013 Apr;7(4):739-41. doi: 10.7860/JCDR/2013/5283.2899. Epub 2013 Feb 20.

DOI:10.7860/JCDR/2013/5283.2899
PMID:23730664
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3644462/
Abstract

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.

摘要

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。

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本文引用的文献

1
Anticoagulant-induced intramural haematoma of the caecum mimicking a colonic tumour.抗凝剂诱发的盲肠壁内血肿,酷似结肠肿瘤。
N Z Med J. 2010 May 28;123(1315):75-8.
2
Bowel obstruction caused by an intramural duodenal hematoma: a case report of endoscopic incision and drainage.壁内十二指肠血肿所致肠梗阻:内镜切开引流1例报告
J Korean Med Sci. 2009 Feb;24(1):179-83. doi: 10.3346/jkms.2009.24.1.179. Epub 2009 Feb 28.
3
Anticoagulant-induced intramural intestinal hematoma: report of three cases and literature review.抗凝剂所致肠壁内血肿:三例报告及文献复习
J Med Assoc Thai. 2008 Aug;91(8):1285-90.
4
A case of acute large bowel obstruction, presenting in a patient taking warfarin.一例急性大肠梗阻病例,发生在一名正在服用华法林的患者身上。
Emerg Med J. 2003 Nov;20(6):E8. doi: 10.1136/emj.20.6.e8.
5
Anticoagulant-induced intramural intestinal hematoma.抗凝剂诱导的肠壁内血肿。
Am J Emerg Med. 2003 May;21(3):208-11. doi: 10.1016/s0735-6757(02)42258-9.
6
Spontaneous perforating hematoma of the rectum. Report of a case.直肠自发性穿孔性血肿。病例报告。
Dis Colon Rectum. 1992 Mar;35(3):270-2. doi: 10.1007/BF02051022.