Spontaneous Intramural Jejunal Haematoma: a Case Report

Overview

Journal Cases J

Specialty General Medicine

Date 2008 Dec 17

PMID 19077259

Citations 5

Authors

Rashmi P Birla

Kamal K Mahawar

Elena Yw Saw

Mohamed A Tabaqchali

Philip Woolfall

Affiliations

Soon will be listed here.

Abstract

Background: Spontaneous intramural intestinal haematoma is a rare complication of anticoagulation therapy. A misdiagnosis may lead to an unnecessary and even hazardous surgical intervention.

Case Presentation: An 85 year old lady presented to us with acute abdomen. She was on Warfarin and was found to have grossly deranged clotting parameters. Computed Tomography Scan revealed a long loop of markedly thick-walled proximal jejunum. A diagnosis of spontaneous intramural jejunal haematoma was made.

Conclusion: She was successfully treated with conservative management with Vitamin K and blood products.

Citing Articles

Intramural jejunal hematoma following abdominal trauma as a rare cause of small bowel obstruction in an adult male: A case report.

Chaudhary B, Yadav A, Mahato A, Deo A, Ghimire B, Kansakar P Int J Surg Case Rep. 2025; 127:110966.

PMID: 39892289 PMC: 11836475. DOI: 10.1016/j.ijscr.2025.110966.

Warfarin Poisoning and Blunt Abdominal Trauma: A Rare Cause of Small Bowel Obstruction.

Yeo J, Terez C, Shapiro M, Merchant A Cureus. 2021; 13(2):e13603.

PMID: 33816002 PMC: 8009056. DOI: 10.7759/cureus.13603.

Case Report: Large ileal intramural hematoma presenting as an intestinal obstruction in a patient on Warfarin with incidental breast cancer.

Alizadeh Forutan M, Mojarad F, Rahmani N F1000Res. 2020; 7:724.

PMID: 32185013 PMC: 7059841. DOI: 10.12688/f1000research.14848.2.

Anticoagulant-induced intramural hematoma of the jejunum.

Brar P, Singh I, Kaur S, Doley R, Brar R, Sahni A Clin J Gastroenterol. 2015; 4(6):387-90.

PMID: 26189741 DOI: 10.1007/s12328-011-0256-3.

Spontaneous intestinal intramural hematoma: What to do and not to do.

Yoldas T, Erol V, Caliskan C, Akgun E, Korkut M Ulus Cerrahi Derg. 2015; 29(2):72-5.

PMID: 25931850 PMC: 4379831. DOI: 10.5152/UCD.2013.41.

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