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Korean J Helicobacter  Up Gastrointest Res > Volume 18(3); 2018 > Article
The Korean Journal of Helicobacter  and Upper Gastrointestinal Research 2018;18(3):204-208.
DOI: https://doi.org/10.7704/kjhugr.2018.18.3.204    Published online September 10, 2018.
A Case of Anticoagulant-induced Spontaneous Intramural Intestinal Hematoma
Ho Joon Park, Gwang Ha Kim, Sang Kyu Park, Do Youn Park
1Department of Internal Medicine, Pusan National University School of Medicine, Busan, Korea. doc0224@pusan.ac.kr
2Biomedical Research Institute, Pusan National University Hospital, Busan, Korea.
3Department of Pathology, Pusan National University School of Medicine, Busan, Korea.
항응고제에 의한 자발성 장관 벽내 혈종 1예
박호준1, 김광하1,2, 박상규1, 박도윤2,3
부산대학교 의학전문대학원 내과학교실1, 부산대학교병원 의생명연구원2, 부산대학교 의학전문대학원 병리학교실3
Correspondence:  Gwang Ha Kim, Tel: +82-51-240-7869, Fax: +82-51-244-8180, 
Email: doc0224@pusan.ac.kr
Received: 30 January 2018   • Revised: 16 February 2018   • Accepted: 22 February 2018
Abstract
Spontaneous intramural hematoma is a rare complication of oral anticoagulants, and its incidence is expected to increase because of the increasing number of elderly patients undergoing anticoagulant therapy. Clinical manifestations of spontaneous intramural hematoma vary from mild abdominal pain to intestinal obstruction or acute abdomen. Early diagnosis is important because most patients can be treated successfully without surgery. The role of endoscopy in the diagnosis of intramural hematoma is not well established because almost all cases are diagnosed non-invasively with computed tomography scans. However, confirmation of the intramural hematoma through direct visualization of the involved bowel mucosa is helpful, if the imaging diagnosis is uncertain. We report a case of anticoagulant-induced spontaneous intramural hematoma, which was diagnosed using endoscopy, with relevant literature review.
Key Words: Anticoagulants; Endoscopy; Hematoma; Small intestine
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