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SPONTANEOUS COLONIC HEMATOMA: ENDOSCOPIC APPEARANCE
Author(s) -
Martins Dos Santos Marcus,
Rodrigues Rodrigo,
Tafarel Jean,
Nakao Frank,
Ferrari Angelo,
Libera Ermelindo
Publication year - 2007
Publication title -
digestive endoscopy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.5
H-Index - 56
eISSN - 1443-1661
pISSN - 0915-5635
DOI - 10.1111/j.1443-1661.2007.00689.x
Subject(s) - medicine , clopidogrel , colonoscopy , hematoma , aspirin , complication , surgery , lower gastrointestinal bleeding , gastroenterology , colorectal cancer , cancer
Intramural colonic hematoma is a rare complication of anticoagulation therapy. We report a patient under therapy with acetylsalicylic acid, low‐molecular‐weight heparin and clopidogrel for unstable angina, who presented with massive lower gastrointestinal bleeding secondary to spontaneous intramural colonic hematoma, with unremarkable coagulation tests. Diagnosis was promptly made by colonoscopy, and the patient was successfully managed with a conservative approach, with complete resolution of symptoms after 7 days. This is the first report of spontaneous intramural colonic hematoma presumed to be related to acetylsalicylic acid, enoxaparin and clopidogrel.