Small bowel intramural hematoma caused by warfarin: case report and literature review
CONCLUSION: Our analysis highlights that hematoma in the small intestinal wall caused by warfarin overdose often presents as sudden and intense abdominal pain, laboratory tests suggest reduced coagulation capacity, and imaging often shows thickening of the intestinal wall. Intravenous vitamin K and plasma supplementation are effective non-surgical strategies. Nevertheless, in instances of severe obstruction and unresponsive hemostasis, surgical resection of necrotic intestinal segments may be necessary. In the cases we reported, we avoided surgery by closely monitoring the coagulation function. Therefore, we suggest that identifying and correcting the impaired coagulation status of patient is essential for timely and appropriate treatment.PMID:38597576 | DOI:10.1080/00365521.2024.2337830
Source: Scandinavian Journal of Gastroenterology - Category: Gastroenterology Authors: Zihao Wang Tianxiang Jiang Mingchun Mu Chaoyong Shen Zhaolun Cai Haining Chen Bo Zhang Source Type: research
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