1. Surgically treated rare intestinal bleeding due to submucosal hematoma in a patient on oral anticoagulant therapy
- Author
-
Yu, Wei-Hua, Feng, Chao, Han, Tie-Mei, Ji, Shun-Xian, Zhang, Lan, and Dai, Yi-Yang
- Subjects
Hematoma ,colon ,anticoagulant ,hematochezia ,Anticoagulants ,Colonic Diseases ,endoscopic ultrasound ,Humans ,Female ,Clinical Case Report ,Intestinal Mucosa ,Gastrointestinal Hemorrhage ,intestine ,submucosal hematoma ,Research Article ,Aged - Abstract
Rationale: Bleeding in the gastrointestinal tract is a common complication of oral anticoagulant therapy (AT), and it usually appears as mucosal erosion or ulcer; however, intestinal submucosal hematoma (ISH) is an uncommon cause of hemorrhage. Patient concerns: This report presents the case of a 70-year-old woman with acute hematochezia induced by AT. She underwent computed tomography and endoscopy. Diagnoses: Colon submucosal hematoma. Interventions: Conservative treatment had no effect, and the patient underwent emergency surgery. Outcomes: Surgical resection showed hemorrhage and necrosis in the left colon, and the patient recovered 24 hours after surgery and continued AT. Lessons: The present case indicates that the ISH should be kept in mind as a complication of AT. It can be managed conservatively in some stable patients, but emergency surgery may be needed in some serious situations.
- Published
- 2018