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Ileus Following Spontaneous Jejunum Intramural Hematoma: Case Report and Review of the Literature

Gabriele Spinelli
Giuseppe Damiano
Vincenzo Davide Palumbo
Antonino Sammartano
Carolina Maione
Antonio Marrazzo
Maurizio Bellavia
Rita Barone
Giuseppe Buscemi
Attilio Ignazio Lo Monte

Abstract

Anticoagulant therapy may cause the onset of a spontaneous intramural hematoma of the small bowel, in the jejunum, ileum or duodenum. A 53-year-old woman on therapy with heparin for previous pulmonary embolism was admitted for abdominal pain and vomit. Computed tomography scan visualized an intramural hematoma of the jejunum causing subtotal obstruction of the intestinal lumen. The patient underwent resection of a part of the jejunum, securing intestinal continuity by a mechanical side-to-side anastomosis. The postoperative course was regular, but the initial anticoagulant therapy was reduced to prevent recurrence. In conclusion, spontaneous hematoma of small bowel can occur as a complication of anticoagulant therapy. The clinical picture and rapid diagnosis indicate medical or surgical therapy.

Keywords

Spontaneous intramural hematoma; Anticoagulant therapy; Bowel obstruction

Hrčak ID:

107235

URI

https://hrcak.srce.hr/107235

Publication date:

1.10.2012.

Article data in other languages: croatian

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