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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.

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。

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