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[横结肠系膜右角自发性血肿：维生素K抗凝治疗的罕见并发症]

[Spontaneous hematoma of right angle of the transverse mesocolon: exceptional complication of anticoagulant therapy with vitamin K].

作者信息

Traoré Ibrahim Alain, Zaré Cyprien, Barro Sié Drissa, Guibla Ismaël

机构信息

Service d'Anesthésie-réanimation, CHU Souro-Sanou de Bobo-Dioulasso, Bobo-Dioulasso, Burkina Faso.

Service de Chirurgie, CHU Souro-Sanou de Bobo-Dioulasso, Bobo-Dioulasso, Burkina Faso.

出版信息

Pan Afr Med J. 2016 Feb 29;23:52. doi: 10.11604/pamj.2016.23.52.8231. eCollection 2016.

DOI:10.11604/pamj.2016.23.52.8231
PMID:27217878
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4862779/
Abstract

Spontaneous hematoma of transverse mesocolon is a rare complication of anticoagulant treatment with vitamin K. We report the case of spontaneous hematoma of right angle of the transverse mesocolon associated with a hemoperitoneum in a 32-year-old patient treated by fluindione for pulmonary embolism. The diagnosis must be made urgently. The abdominal ultrasound and the scanning confirm the diagnosis. It is important to note that surgery is indicated only in the case of complications such as the risk of rupture of the hematoma.

摘要

横结肠系膜自发性血肿是维生素K抗凝治疗的一种罕见并发症。我们报告了一例32岁接受氟茚二酮治疗肺栓塞的患者，其横结肠系膜右角自发性血肿合并腹腔积血。必须紧急做出诊断。腹部超声和扫描可确诊。需要注意的是，仅在出现如血肿破裂风险等并发症的情况下才需进行手术。

相似文献

1
[Spontaneous hematoma of right angle of the transverse mesocolon: exceptional complication of anticoagulant therapy with vitamin K].[横结肠系膜右角自发性血肿：维生素K抗凝治疗的罕见并发症]
Pan Afr Med J. 2016 Feb 29;23:52. doi: 10.11604/pamj.2016.23.52.8231. eCollection 2016.
2
[Infrahepatic hematoma secondary to gangrenous cholelithiasic hemocholecyst treated with antivitamins K].[维生素K拮抗剂治疗坏疽性胆囊炎胆石症继发肝下血肿]
Ann Chir. 1989;43(10):838-9.
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[Mesenteric hematoma: Unusual complication of a long term oral anticoagulation therapy].
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Spontaneous liver rupture associated with anticoagulant therapy A case report.抗凝治疗相关的自发性肝破裂：一例报告
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[Hematoma of the transverse mesocolon and spontaneous rupture of the spleen during prolonged anticoagulant treatment].[长期抗凝治疗期间横结肠系膜血肿及脾自发性破裂]
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Spontaneous mesenteric hematoma occurring during antithrombotic therapy and responsive to surgical treatment: a case report.抗血栓治疗期间发生的自发性肠系膜血肿并对手术治疗有反应：一例报告
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本文引用的文献

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Gastroenterol Clin Biol. 2009 Jan;33(1 Pt 1):92-3. doi: 10.1016/j.gcb.2008.07.006. Epub 2008 Oct 15.
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Endoscopic diagnosis and conservative management of an intramural sigmoid haematoma complicating anticoagulant therapy.内镜诊断及保守治疗乙状结肠壁内血肿合并抗凝治疗
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Major bleeding complications in a specialized anticoagulation service.专业抗凝服务中的严重出血并发症。
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Hemorrhagic complications of anticoagulant treatment.抗凝治疗的出血并发症
Chest. 2001 Jan;119(1 Suppl):108S-121S. doi: 10.1378/chest.119.1_suppl.108s.
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Oral anticoagulants: mechanism of action, clinical effectiveness, and optimal therapeutic range.口服抗凝剂：作用机制、临床疗效及最佳治疗范围。
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Optimal oral anticoagulant therapy in patients with mechanical heart valves.机械心脏瓣膜患者的最佳口服抗凝治疗
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