| A Case of Warfarin-Induced Intramural Hematoma Diagnosed by Double-Balloon Enteroscopy |
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Dong Hwi Rim, Chang Soo Eun, Shin Jae Moon, Jung Ho Bae, Tae Yeob Kim, Hang Lak Lee, Joo Hyun Sohn, Yong Cheol Jeon, Dong Soo Han |
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Department of Internal Medicine, Hanyang University College of Medicine, Guri, Korea
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| 이중 풍선 소장 내시경으로 진단한 와파린에 의한 소장 벽내 혈종 |
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임동휘, 은창수, 문신제, 배중호, 김태엽, 이항락, 손주현, 전용철, 한동수 |
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한양대학교 의과대학 내과학교실 |
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| Abstract |
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Although bleeding is a major complication of oral anticoagulant therapy, warfarin-induced spontaneous intramural hematoma of the small bowel is a very rare complication. The clinical features of spontaneous intramural hematoma vary from mild abdominal pain to panperitonitis due to bowel perforation. Because spontaneous intramural hematoma can proceed to a life threatening situation, early diagnosis is of vital importance. Although there are a number of radiologic diagnostic tools available including abdominal ultrasonography and computed tomography, confirmation of the diagnosis through direct visualization of the involved bowel mucosa is very helpful. Direct confirmation of warfarin-induced spontaneous intramural hematoma of the small bowel is possible using double-balloon enteroscopy. We report a case of warfarin-induced spontaneous intramural hematoma with a review of the relevant literature. (Intest Res 2011;9:162-165) |
| Key Words:
Intramural Hematoma, Double-Balloon Enteroscopy, Anticoagulant |
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