Sonographic diagnosis of spontaneous intramural small bowel hematoma in a case of warfarin overdose

Journal of Clinical Ultrasound : JCU
Sheng-Wen HouChee-Fah Chong

Abstract

A 38-year-old man who had been treated with warfarin since mitral valve replacement 10 years earlier presented with acute onset of epigastralgia and melena. Coagulation tests were abnormal with a prolonged prothrombin time of >60 seconds and a prolonged activated partial thromboplastin time of >120 seconds. Abdominal sonographic examination revealed duodenal intramural hematoma that was confirmed on CT. Warfarin therapy was stopped and the patient was treated conservatively with vitamin K and fresh frozen plasma. Recovery was uneventful, and the patient was re-warfarinized 2 weeks later. Duodenal hematoma can be readily diagnosed with bedside sonography.

References

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Citations

Nov 14, 2013·World Journal of Gastroenterology : WJG·Derrick D EicheleMark Mailliard
Oct 16, 2012·Expert Review of Gastroenterology & Hepatology·Ahmed Abdel Samie, Lorenz Theilmann
Jun 9, 2009·Gastroenterology·Ahmed Abdel SamieLorenz Theilmann
Sep 17, 2009·Journal of Clinical Ultrasound : JCU·Dimitris AntoniouGeorge Christopoulos-Geroulanos
Dec 27, 2017·Revista Española De Enfermedades Digestivas : Organo Oficial De La Sociedad Española De Patología Digestiva·Helena RibeiroAntónio Banhudo

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