Intestinal obstruction due to intramural hematoma of the colon, a complication of sodium warfarin therapy: Report of a case

Patel, D.; Shrivastav, Rajendra; Hand, Gordon

doi:10.1007/bf02587590

Cited by 13 publications

(4 citation statements)

References 7 publications

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“…The majority of the cases were associated with trauma. The next most common cause is bleeding tendency because of hemophilia [3] or other coagulopathy [4] or warfarin therapy [5]. These findings may explain why the patients are predominantly male.…”

Section: Discussionmentioning

confidence: 99%

Idiopathic spontaneous intramural hematoma of the colon: a case report and review of the literature

Nozu¹

2009

Clin J Gastroenterol

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An 82-year-old man visited our hospital for abdominal discomfort and constipation lasting 3 days. He did not have a history of trauma or bleeding tendency. His laboratory studies showed slight anemia and inflammatory reactions, but other data including coagulation profiles were all normal. Computed tomography (CT) demonstrated a 6-cm high-density mass in the left upper quadrant and slight ascites. Contrast-enhanced CT revealed that the lesion was not enhanced. Colonoscopy could not detect the lesion. Laparotomy was performed because malignancy could not be ruled out. The mass was located in the transverse colon, and histologic examination showed intramural hematoma. Neither arteriovenous malformation nor a foreign body such as a fish bone was identified, indicating that the mass was considered to be idiopathic intramural colonic hematoma. We present this rare case and also a review of the literature.

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Section: Discussionmentioning

confidence: 99%

Idiopathic spontaneous intramural hematoma of the colon: a case report and review of the literature

Nozu¹

2009

Clin J Gastroenterol

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“…Of these colonic cases, only four patients were on anticoagulants 10 . In one reported case, the haematoma presented with intestinal obstruction 11 …”

Section: Discussionmentioning

confidence: 98%

Acute Spontaneous Haematoma of the Rectum

Babu

Axisa

Taghizadeh

et al. 2001

Int J Clinical Practice

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“…Anticoagulation therapy and hematologic disease were the causative factor in eight and four patients each. Warfarin was the most common causative agent (1,3,22,29), followed by heparin (21,32). On patient treated with warfarin in addition to aspirin (10) and another patient treated with aspirin in addition to clopidogrel (23) were also reported.…”

Section: Discussionmentioning

confidence: 99%

Supportive Management Resolved a Colonic Intramural Hematoma in an Anticoagulant User

et al. 2014

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Intramural hematomas of the colon are rare. Intramural hematomas of the gastrointestinal tract often result from blunt trauma, although they may also occur spontaneously in patients taking anticoagulants or those with blood dyscrasia. Affected patients present with abdominal pain and lower gastrointestinal bleeding, as well as occasional signs of intestinal obstruction. The diagnosis is made using colonoscopy and abdominal CT. Resection of the involved bowel segment is accepted as the standard therapy; however, experience with conservative treatment has also been reported. We herein report the case of a 62-year-old woman taking warfarin who was diagnosed with a colonic intramural hematoma and completely recovered with conservative management.

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Intestinal obstruction due to intramural hematoma of the colon, a complication of sodium warfarin therapy: Report of a case

Cited by 13 publications

References 7 publications

Idiopathic spontaneous intramural hematoma of the colon: a case report and review of the literature

Idiopathic spontaneous intramural hematoma of the colon: a case report and review of the literature

Acute Spontaneous Haematoma of the Rectum

Supportive Management Resolved a Colonic Intramural Hematoma in an Anticoagulant User

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