Spontaneous intramural small-bowel haematoma

Case contributed by Dr Franco A. Scola

Presentation

Epigastric pain. Coumarin intoxication.

Patient Data

Age: 65 years old
Gender: Male
Modality: Annotated image

A long jejunal segment circumferential wall thickening, luminal narrowing and intramural hyperdensity 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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Case Information

rID: 43707
Case created: 22nd Mar 2016
Last edited: 31st Dec 2016
Inclusion in quiz mode: Included

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