Gutstein D E, Rosenberg S J
Department of Medicine, Beth Israel Hospital, Boston, Massachusetts, USA.
Mt Sinai J Med. 1997 Sep-Oct;64(4-5):339-41.
A 74-year-old man receiving chronic anticoagulant therapy presented with symptoms of acute small bowel obstruction. He was subsequently found to have an intramural hematoma of the duodenum. Early noninvasive diagnosis was possible using computed tomography. Conservative therapy proved successful in allowing resolution of obstructive symptoms. This case illustrates the effectiveness of a conservative approach to intramural hematoma of the duodenum, even in patients requiring anticoagulation.
一名接受慢性抗凝治疗的74岁男性出现急性小肠梗阻症状。随后发现他患有十二指肠壁内血肿。使用计算机断层扫描可以进行早期非侵入性诊断。保守治疗成功地缓解了梗阻症状。该病例说明了对十二指肠壁内血肿采取保守治疗方法的有效性，即使是在需要抗凝治疗的患者中。
