Korean J Gastroenterol.  2016 Apr;67(4):224-226. 10.4166/kjg.2016.67.4.224.

Spontaneous Intramural Hematoma of the Colon in Patient Taking Anticoagulant Agent

Affiliations
  • 1Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea. jaejpark@yuhs.ac

Abstract

No abstract available.


Figure

  • Fig. 1. Abdominal CT findings. Large amount of fecal material is seen in the distended ascending to descending colon and suspicious large lobulated soft tissue mass is observed on the mid-to-distal transverse colon.

  • Fig. 2. Abdominal CT findings. Multi-focal high-attenuating mass showing poor enhancement and measuring less than 7 cm is noted on transverse colon.

  • Fig. 3. Multiple large irregular shaped ulcerations are present on transverse colon. In addition, multiple subepithelial hemorrhages are observed on transverse and descending colon.


Reference

References

1. Hughes CE 3rd, Conn J Jr, Sherman JO. Intramural hematoma of the gastrointestinal tract. Am J Surg. 1977; 133:276–279.
Article
2. Chaiteerakij R, Treeprasertsuk S, Mahachai V, Kullavanijaya P. Anticoagulant-induced intramural intestinal hematoma: report of three cases and literature review. J Med Assoc Thai. 2008; 91:1285–1290.
3. Herbert DC. Anticoagulant therapy and the acute abdomen. Br J Surg. 1968; 55:353–357.
Article
4. Abbas MA, Collins JM, Olden KW. Spontaneous intramural small-bowel hematoma: imaging findings and outcome. AJR Am J Roentgenol. 2002; 179:1389–1394.
5. Wiot JF, Weinstein AS, Felson B. Duodenal hematoma induced by coumarin. Am J Roentgenol Radium Ther Nucl Med. 1961; 86:70–75.
6. Jones WR, Hardin WJ, Davis JT, Hardy JD. Intramural hematoma of the duodenum: a review of the literature and case report. Ann Surg. 1971; 173:534–544.
7. Polat C, Dervisoglu A, Guven H, et al. Anticoagulant-induced intramural intestinal hematoma. Am J Emerg Med. 2003; 21:208–211.
Article
8. 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; 14:272–273.
Article
9. Umeda I, Ohta H, Doi T, et al. Idiopathic intramural hematoma of the colon. Gastrointest Endosc. 2007; 66:861–864.
Article
10. Nakayama Y, Fukushima M, Sakai M, et al. Intramural hematoma of the cecum as the lead point of intussusception in an elderly patient with hemophilia A: report of a case. Surg Today. 2006; 36:563–565.
Article
11. Nozu T. Idiopathic spontaneous intramural hematoma of the colon: a case report and review of the literature. Clin J Gastroenterol. 2009; 2:161–165.
Article
12. Vallurupalli NG, Goldhaber SZ. Gastrointestinal complications of dual antiplatelet therapy. Circulation. 2006; 113:e655–e658.
Article
13. Kim GI, Kim YS, Yang JK, et al. Spontaneous intramural hematoma of the sigmoid colon caused by anti-platelet agents. Korean J Gastrointest Endosc. 2011; 42:397–400.
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