Presentation
Epigastric pain. Coumarin intoxication.
Patient Data
Age: 65 years
Gender: Male
From the case:
Spontaneous intramural small-bowel hematoma
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A long jejunal segment circumferential wall thickening, luminal narrowing and intramural hyperdensity (HU level of 60.91) with dilated bowel proximally and collapsed distally (small bowel obstruction). No free fluid or free air can be seen.
Case Discussion
Nontraumatic small-bowel hematoma is a rare complication of oral anticoagulation therapy. Patients present usually with abdominal pain, intestinal obstruction or an acute abdomen.
CT characteristics range from circumferential wall thickening, luminal narrowing, intramural hyperdensity and intestinal obstruction.
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