Sonographic diagnosis of spontaneous intramural small bowel hematoma in a case of warfarin overdose

Sheng Wen Hou, Chien Chih Chen, Kuo Chih Chen, Shih Yu Ko, Chung Shun Wong, Chee Fah Chong

Research output: Contribution to journalArticlepeer-review

21 Citations (Scopus)

Abstract

A 38-year-old man who had been treated with warfarin since mitral valve replacement 10 years earlier presented with acute onset of epigastralgia and melena. Coagulation tests were abnormal with a prolonged prothrombin time of >60 seconds and a prolonged activated partial thromboplastin time of >120 seconds. Abdominal sonographic examination revealed duodenal intramural hematoma that was confirmed on CT. Warfarin therapy was stopped and the patient was treated conservatively with vitamin K and fresh frozen plasma. Recovery was uneventful, and the patient was re-warfarinized 2 weeks later. Duodenal hematoma can be readily diagnosed with bedside sonography.

Original languageEnglish
Pages (from-to)374-376
Number of pages3
JournalJournal of Clinical Ultrasound
Volume36
Issue number6
DOIs
Publication statusPublished - Jul 2008
Externally publishedYes

Keywords

  • Intramural hematoma
  • Small bowel
  • Ultrasound
  • Warfarin

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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