Spontaneous intramural small-bowel hematoma

Case contributed by Dr Franco A. Scola

Presentation

Epigastric pain. Coumarin intoxication.

Patient Data

Age: 65 years
Gender: Male

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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Case information

rID: 43707
Published: 31st Dec 2016
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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