Severe abdominal pain. Warfarin toxicity. Bleeding per rectum and one episode of haematemesis.
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- marked circumferential mass thickening of the duodenum and the almost of the jejunum up to 2cm
- moderate dense free intraperitoneal fluid
- increased vascularity of the affected bowel
- no signs of malignancy
- no hepatic or nodal deposits
- no intestinal obstruction
Gastrointestinal bleeding is one of the potential severe bleeding complications of warfarin anticoagulation and happens in up to 12% of cases.
Follow-up of the case demonstrates regression confirming the likelihood of mural haemorrhage.