Revista Colombiana de Cardiología
Print version ISSN 0120-5633
CADAVID, Ana M et al. Spontaneous small-bowel hematoma: Report of two cases and literature review. Rev. Colom. Cardiol. [online]. 2009, vol.16, n.6, pp. 261-265. ISSN 0120-5633.
Spontaneous intramural small-bowel hematoma is a rare complication in patients receiving anticoagulation therapy and may represent a diagnostic challenge. Its clinical presentation varies from mild abdominal pain and intestinal obstruction to perforation. Medical treatment is indicated and surgery is required only in cases of perforation. We present the cases of two patients who developed intramural spontaneous small-bowel hematoma as a complication of warfarin therapy and who had a good outcome after medical treatment.
Keywords : intramural hematoma; small bowel; abdominal pain; warfarin.