WARFARİN KULLANIMINA BAĞLI İNTRAMURAL İNCE BARSAK HEMATOMU: NADİR BİR OLGU SUNUMU Intramural Small Bowel Hematoma Due To Warfarin Use: A Rare Case Report
ÖZET
İntestinal intramural hematom genellikle warfarin kullanımına bağlı olarak gelişir. Nadir bir akut batın sebebidir.
İskeminin şiddetine göre konservatif veya cerrahi tedavi uygulanabilir. Bu olgu sunumunda karın ağrısı
nedeni ile acil servise başvuran ve warfarin kullanımına bağlı intestinal intramural hematom gelişen hastayı
sunmayı amaçladık.
Anahtar Kelimeler: Intramural Hematom; İnce Barsak. ; Warfarin
ABSTRACT
Intestinal intramural hematoma usually develops due to the use of warfarin. It is a rare cause of acute abdomen.
Depending on the severity of ischemia, conservative or surgical treatment may be performed. In this
case report, we present a patient who presented to the emergency department with abdominal pain and
developed intestinal intramural hematoma due to warfarin use.
Keywords: Intramural Hematoma; Small Bowel. ; Warfarin
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- 1. Hou SW, Chen CC, Chen KC, Ko SY, Wong CS, Chong CF. Sonographic diagnosis of spontaneous intramural small bowel hematoma in a case of warfarin overdose. J Clin Ultrasound. 2008;36:374-6.
- 2. Uzun MA, Koksal N, Gunerhan Y, Sahin UY, Onur E, Ozkan OF. Intestinal obstruction due to spontaneous intramural hematoma of the small intestine during warfarin use: a report of two cases. Eur J Emerg Med. 2007;14:272-3.
- 3. Birla RP, Mahawar KK, Saw EY, Tabaqchali MA, Woolfall P. Spontaneous intramural jejunal haematoma: a case report. Cases J. 2008;1:389.
- 4. Liu Y, Yang S, Tong Q. Spontaneous intramural hematoma of colon. Clin Gastroenterol Hepatol. 2011;10:38.
- 5. Polat C, Dervisoglu A, Guven H, Kaya E, Malazgirt Z, Danaci M, et al. Anticoagulant-induced intramural intestinal hematoma. Am J Emerg. Med. 2003;21(3):208-11.
- 6. Rauh P, Uhle C, Ensberg D, Rickes S, Mönkemüller K, Fry L, et al. Sonographic characteristics of intramural bowel hematoma. J Clin Ultrasound. 2008;36:367-8.
- 7. Yoldaş T, Erol V, Çalışkan C, Akgün E, Korkut M. Spontaneous intestinal intramural hematoma: what to do and not to do. Ulus Cerrahi Dergisi. 2013;29(2):72-5.
- 8. Sorbello MP, Utiyama EM, Parreira JG, Birolini D, Rasslan S. Spontaneous intramural small bowel hematoma induced by anticoagulant therapy: review and case report. Clinics (Sao Paulo). 2007 Dec;62(6):785-90. doi: 10.1590/s1807-59322007000600020