Extensive small bowel intramural haematoma secondary to warfarin

A Rare Complication with the Concomitant use of Warfarin and Nonsteroidal Anti-Inflammatory Drugs: Hemoperitoneum and Intramural Small Bowel Hematoma

Gastric outlet obstruction secondary to spontaneous intramural haematoma as a complication of warfarin treatment

A 73-year-old lady presented with clinical features of gastric outlet obstruction. It was found to be secondary to a spontaneous haematoma in duodenal wall as a complication of warfarin therapy given for atrial fibrillation. The diagnosis was confirmed by abdominal CT scan and upper G I endoscopy. Warfarin was stopped and blood transfusions given. She recovered completely after three weeks of c...

A Bleeding Kiss: intramural haematoma secondary to balloon angioplasty

BACKGROUND Intramural coronary haematoma following percutaneous coronary intervention in the absence of coronary dissection is a rare phenomenon. CASE PRESENTATION A 69 year old lady with previous prosthetic aortic valve replacement underwent percutaneous coronary intervention (PCI) from the left mainstem to the left anterior descending artery (LAD) and kissing balloon inflations to the LAD a...

Excess anticoagulation as a cause of small-bowel obstruction: a report of two cases

Spontaneous intramural haemorrhage is a rare cause of small-bowel obstruction, occurring most commonly in those who are anticoagulated. We describe two cases that presented with a history and imaging suggestive of small-bowel obstruction; both had International Normalized Ratios of above 10 on admission. The first case, a 62-year-old lady on warfarin for atrial fibrillation, was managed conserv...

Spontaneous intramural jejunal haematoma: a case report

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 ma...