Ben Ali Asma, Cherif Mohamed Ali, Mhajba Walid, Doghri Hamdi Hamdène, Hassouna Malek, Hechmi Youssef Zied El, Jerbi Zouheir, Ben Hassen Ines, Daghfous Mohamed Habib
Emergency Department, Habib Thameur University Hospital, Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia.
Radiology Department, Habib Thameur University Hospital, Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia.
Case Rep Gastrointest Med. 2017;2017:5424631. doi: 10.1155/2017/5424631. Epub 2017 Feb 12.
. Mural intestinal hematoma (MIH) is an uncommon complication of anticoagulant therapy. Hemorrhagic shock has been rarely reported as a revealing modality. . We report two cases of shock induced by mural intestinal hematoma in patients under oral anticoagulant for aortic prosthetic valve and atrial fibrillation. Patients were admitted to the ICU for gastrointestinal tract bleeding associated with hemodynamic instability. After resuscitation, an abdominal CT scan has confirmed the diagnosis showing an extensive hematoma. Medical treatment was sufficient and there was no need for surgery. . Gastrointestinal bleeding associated with shock in patients treated by oral anticoagulant should alert physicians to research a probable MIH. Urgent diagnosis and appropriate medical treatment can avoid surgical interventions.