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Excess anticoagulation as a cause of small-bowel obstruction: a report of two cases.

Creasy H, Meleagros L - J Surg Case Rep (2015)

Bottom Line: Spontaneous intramural haemorrhage is a rare cause of small-bowel obstruction, occurring most commonly in those who are anticoagulated.We describe two cases that presented with a history and imaging suggestive of small-bowel obstruction; both had International Normalized Ratios of above 10 on admission.In this study, we emphasize the merit of conservative management for this rare cause of small-bowel obstruction.

View Article: PubMed Central - HTML - PubMed

Affiliation: North Middlesex University Hospital NHS Trust, London, UK henriettacreasy@gmail.com.

No MeSH data available.


Related in: MedlinePlus

Post-contrast CT (sagittal plane) showing proximal small-bowel dilation and a thickened small-bowel segment (Case 1).
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RJV041F2: Post-contrast CT (sagittal plane) showing proximal small-bowel dilation and a thickened small-bowel segment (Case 1).

Mentions: A CT scan was performed that showed dilation of the proximal small bowel, with a long segment of thickened small-bowel loops that was reported as possible intussusception (Fig. 2). The images were discussed further at the multidisciplinary surgical radiology meeting in the context of her haematology results. It was determined that the long segment of the thickened small bowel was, in fact, haemorrhage rather than intussusception.Figure 2:


Excess anticoagulation as a cause of small-bowel obstruction: a report of two cases.

Creasy H, Meleagros L - J Surg Case Rep (2015)

Post-contrast CT (sagittal plane) showing proximal small-bowel dilation and a thickened small-bowel segment (Case 1).
© Copyright Policy - creative-commons
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4390781&req=5

RJV041F2: Post-contrast CT (sagittal plane) showing proximal small-bowel dilation and a thickened small-bowel segment (Case 1).
Mentions: A CT scan was performed that showed dilation of the proximal small bowel, with a long segment of thickened small-bowel loops that was reported as possible intussusception (Fig. 2). The images were discussed further at the multidisciplinary surgical radiology meeting in the context of her haematology results. It was determined that the long segment of the thickened small bowel was, in fact, haemorrhage rather than intussusception.Figure 2:

Bottom Line: Spontaneous intramural haemorrhage is a rare cause of small-bowel obstruction, occurring most commonly in those who are anticoagulated.We describe two cases that presented with a history and imaging suggestive of small-bowel obstruction; both had International Normalized Ratios of above 10 on admission.In this study, we emphasize the merit of conservative management for this rare cause of small-bowel obstruction.

View Article: PubMed Central - HTML - PubMed

Affiliation: North Middlesex University Hospital NHS Trust, London, UK henriettacreasy@gmail.com.

No MeSH data available.


Related in: MedlinePlus