Presentation
Severe abdominal pain. Warfarin toxicity. Bleeding per rectum and one episode of hematemesis.
Patient Data
Age: 30 years
Gender: Male
From the case:
Intestinal hemorrhage
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/57883/annotated_viewer_json?iframe=true\u0026lang=us"}
- marked circumferential mass thickening of the duodenum and the almost of the jejunum up to 2 cm
- moderate dense free intraperitoneal fluid
- increased vascularity of the affected bowel
- no signs of malignancy
- no hepatic or nodal deposits
- no intestinal obstruction
Case Discussion
Gastrointestinal bleeding is one of the potential severe bleeding complications of warfarin anticoagulation and happens in up to 12% of cases.
Follow-up imaging demonstrates regression, confirming the likelihood of mural hemorrhage.