TY - JOUR
T1 - Non-traumatic intramural hematomas in patients on anticoagulant therapy
T2 - Report of three cases and overview of the literature
AU - Bekheit, Mohamed
AU - AlaaSallam, Mohamed
AU - Khafagy, Philippe Abrahim
AU - Corder, Robert
AU - Katri, Khaled
PY - 2014/12
Y1 - 2014/12
N2 - Introduction: Non-traumatic intramural hematoma in the gastrointestinal tract is a rare event that could have diverse clinical presentation. The small intestine is the site of predilection to this condition. Intestinal obstruction is the main presentation. Various degrees of acute abdominal pain with peritoneal signs would make a cumbersome diagnosis. Case reports: Retrospective review of the surgical emergency admissions database was conducted back to 1994. A literature overview was conducted. Three cases were retrieved and presented in this manuscript. More than 20 reports, with acute abdominal pain as a main presentation, were found in the literature. Discussion: Complete history taking is mandatory not to miss such an uncommon complication. The INR level should be asked for in every case on oral anticoagulant presenting with acute abdominal pain. CT scan is the main diagnostic tool. Conservative management is the standard therapeutic approach.
AB - Introduction: Non-traumatic intramural hematoma in the gastrointestinal tract is a rare event that could have diverse clinical presentation. The small intestine is the site of predilection to this condition. Intestinal obstruction is the main presentation. Various degrees of acute abdominal pain with peritoneal signs would make a cumbersome diagnosis. Case reports: Retrospective review of the surgical emergency admissions database was conducted back to 1994. A literature overview was conducted. Three cases were retrieved and presented in this manuscript. More than 20 reports, with acute abdominal pain as a main presentation, were found in the literature. Discussion: Complete history taking is mandatory not to miss such an uncommon complication. The INR level should be asked for in every case on oral anticoagulant presenting with acute abdominal pain. CT scan is the main diagnostic tool. Conservative management is the standard therapeutic approach.
UR - http://www.scopus.com/inward/record.url?scp=84922340228&partnerID=8YFLogxK
U2 - 10.1016/j.afjem.2014.07.009
DO - 10.1016/j.afjem.2014.07.009
M3 - Article
SN - 2211-419X
VL - 4
SP - e1-e4
JO - African Journal of Emergency Medicine
JF - African Journal of Emergency Medicine
IS - 4
ER -