Limits...
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

Abdominal radiograph showing dilated small-bowel loops (Case 2).
© Copyright Policy - creative-commons
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4390781&req=5

RJV041F3: Abdominal radiograph showing dilated small-bowel loops (Case 2).

Mentions: The second case described is of a 57-year-old gentleman who presented with a 3-day history of abdominal pain, vomiting and absolute constipation. His past medical history of note was a metallic aortic valve, although he was unable to give an accurate drug history on admission. On examination, his abdomen was distended with generalized abdominal tenderness and sluggish bowel sounds. Abdominal radiograph revealed dilated small-bowel loops (Fig. 3), and he was managed as a case of small-bowel obstruction, with intravenous fluid and a nasogastric tube.Figure 3:


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

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

Abdominal radiograph showing dilated small-bowel loops (Case 2).
© Copyright Policy - creative-commons
Related In: Results  -  Collection

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

RJV041F3: Abdominal radiograph showing dilated small-bowel loops (Case 2).
Mentions: The second case described is of a 57-year-old gentleman who presented with a 3-day history of abdominal pain, vomiting and absolute constipation. His past medical history of note was a metallic aortic valve, although he was unable to give an accurate drug history on admission. On examination, his abdomen was distended with generalized abdominal tenderness and sluggish bowel sounds. Abdominal radiograph revealed dilated small-bowel loops (Fig. 3), and he was managed as a case of small-bowel obstruction, with intravenous fluid and a nasogastric tube.Figure 3:

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