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Gastric outlet obstruction secondary to spontaneous intramural haematoma as a complication of warfarin treatment
Author(s) -
J. Arain,
A. Al-Dabbagh
Publication year - 2012
Publication title -
journal of surgical case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.14
H-Index - 3
ISSN - 2042-8812
DOI - 10.1093/jscr/2012.3.13
Subject(s) - medicine , warfarin , complication , surgery , endoscopy , atrial fibrillation , gastric outlet obstruction , upper gastrointestinal bleeding , radiology
A 73-year-old lady presented with clinical features of gastric outlet obstruction. It was found to be secondary to a spontaneous haematoma in duodenal wall as a complication of warfarin therapy given for atrial fibrillation. The diagnosis was confirmed by abdominal CT scan and upper G I endoscopy. Warfarin was stopped and blood transfusions given. She recovered completely after three weeks of conservative treatment. Repeat CT scan and upper G I endoscopy done after two months showed complete resolution.

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