The Korean journal of helicobacter and upper gastrointestinal research (대한상부위장관⦁헬리코박터학회지)

Korean College of Helicobacter and upper Gastrointestinal Reseaarch (대한상부위장관ㆍ헬리코박터학회)
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A Case of Anticoagulant-induced Spontaneous Intramural Intestinal Hematoma

항응고제에 의한 자발성 장관 벽내 혈종 1예

  • Park, Ho Joon (Department of Internal Medicine, Pusan National University School of Medicine) ;
  • Kim, Gwang Ha (Department of Internal Medicine, Pusan National University School of Medicine) ;
  • Park, Sang Kyu (Department of Internal Medicine, Pusan National University School of Medicine) ;
  • Park, Do Youn (Biomedical Research Institute, Pusan National University Hospital)
  • 박호준 (부산대학교 의학전문대학원 내과학교실) ;
  • 김광하 (부산대학교 의학전문대학원 내과학교실) ;
  • 박상규 (부산대학교 의학전문대학원 내과학교실) ;
  • 박도윤 (부산대학교병원 의생명연구원)
  • Received : 2018.01.30
  • Accepted : 2018.02.22
  • Published : 2018.09.30
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Abstract

Spontaneous intramural hematoma is a rare complication of oral anticoagulants, and its incidence is expected to increase because of the increasing number of elderly patients undergoing anticoagulant therapy. Clinical manifestations of spontaneous intramural hematoma vary from mild abdominal pain to intestinal obstruction or acute abdomen. Early diagnosis is important because most patients can be treated successfully without surgery. The role of endoscopy in the diagnosis of intramural hematoma is not well established because almost all cases are diagnosed non-invasively with computed tomography scans. However, confirmation of the intramural hematoma through direct visualization of the involved bowel mucosa is helpful, if the imaging diagnosis is uncertain. We report a case of anticoagulant-induced spontaneous intramural hematoma, which was diagnosed using endoscopy, with relevant literature review.

Keywords

Acknowledgement

Supported by : Pusan National University Hospital

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