Open AccessColon Obstruction due to an Anticoagulant Induced Intramural Haematoma- A Rare Case Report
Author(s) -
Lancelot Lobo
Publication year - 2013
Publication title -
journal of clinical and diagnostic research
Language(s) - English
Resource type - Journals
eISSN - 2249-782X
pISSN - 0973-709X
DOI - 10.7860/jcdr/2013/5283.2899
Subject(s) - medicine , warfarin , anticoagulant therapy , surgery , abdominal pain , complication , conservative management , conservative treatment , anticoagulant , acute abdominal pain , bowel obstruction , hematoma , lower abdominal pain , atrial fibrillation
A spontaneous, intramural, intestinal haematoma is a rare complication of the anticoagulant therapy. We are reporting here, a rare case of a 63-years-old male, who presented with intestinal obstruction which was caused by an intramural and a submucosal colonic haematoma, which had resulted from warfarin administration. This patient rapidly improved after taking conservative treatment. A history of anticoagulant use with a prolonged INR value in patients who present with abdominal pain, should alert the physicians or surgeons to search for this entity. It is extremely important to recognize this syndrome at its early stages, to avoid an unnecessary operation, since the outcome is usually excellent after a conservative treatment.