Spontaneous intestinal hematoma as anticoagulant treatment complication
Leonardo, G.; Catracchia, V.; Molina, A.; Bengochea, J.M.; Heredero, J.M.; Lòpez, A.; Gòmez, O.; Bezzi, M.
Il Giornale di Chirurgia 29(10): 421-423
2008
ISSN/ISBN: 0391-9005 PMID: 18947465 Document Number: 615845
The haemoperitoneum and bowel haematoma are complications of the oral anticoagulant treatment. The abdominal pain in patient under oral anticoagulant drugs represents a diagnostic problem; apart of the acute abdomen, we also have to consider unusual haemorrhagic lesion, rare in patients without coagulation problems. The early diagnosis of the complication in the patients permits a conservative treatment with excellent prognosis, instead of performing surgical operations in subjects with frequent comorbidities. We report a case of haemoperitoneum and intramural bowel haematoma in a patient with altered laboratory parameters and haemodynamic instability that required an urgent surgical procedure.