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
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- 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.
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