ANTICOAGULANT INDUCED INTRAMURAL INTESTINAL HAEMATOMA Antikoagülan tedaviye bağli intramural intestinal hematom

作者: Tuna Geldigitti , Servet Rüştü Karahan , Ayhan Özsoy , Onur Bayram , Bora Koç

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摘要: ABSTRACT Anticoagulant-induced intramural intestinal hematoma; case report and review of literature. Though very rarely seen nontraumatic SIIBH incidence is observed to be raising due increasing patients having chemothearpy for hematologic malignancy population receiving longterm  anticoagulant treatment often atrial fibrillation.Warfarin intoxication the most frequent cause.SIIBH should suspected intestional obstruction findings with acute abdominal pain.Generally if radiologically diagnosed SIBBH treated nonoperatively however may also copy surgical diseases that require operation . Surgical approach considered unstable not definitely diagnosed.         OZET Travmatik olmayan cok nadir gorulmekle beraber, hematolojik malignite nedeniyle kemoterapi goren hastalarin ve genellikle fibrilasyon icin uzun donem antikoagulan tedavi alan populasyonun artmasi insidansinda artma gorulmektedir. Warfarin intoksikasyonu in en sik nedenidir. Antikoagulan barsak tikanligi bulgulari ile akut karin agrisi olan hastalarda dan suphelenilmelidir. radyolojik olarak taninabilirse nonoperatif edilmektedir, bununla beraber operasyon gereken cerrahi hastaliklari da taklit edebilir. Tanisi kesinlik kazanmamis olan, stabil yaklasim dusunulmelidir.

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