| 篇名 |
Acute Mesenteric Venous Occlusion in Patients with Warfarin: Warfarin Therapy May Complicate the Diagnosis of Intestinal Vascular Complications |
| 作者 |
Hui-Ping Hsu, Yan-Shen Shan, Edgar D. Sy, Pin-Wen Lin |
| 卷期/出版年月 |
38卷1期 (2005/2) |
| 頁次 |
13-19 |
| 摘要 |
Many intra-abdominal complications are associated with the usage of warfarin, including hematoma or hemorrhage within the gastrointestinal tract; however, acute mesenteric cenous occlusion is a rare condition with an indolent course. Due to its nonspecific clinical presentation and laboratory results, it presents agreat challenge for diagnosis. In this report, five patients on long-term anticoagulant therapy developed acute abdomen with small bowel wall thickening was suspected with computed tomography, and later shown by laparotomy. Associated pathology included mesenteric hematoma and intramural hemorrhage. Though th e anticoagulant was still given to prevent thromboembolic events, the postoperative course was uneventful. Patients on long-term anticoagulant therapy may present a complex diagnosis of gastrointestinal vascular disease, so a high index of suspicion is important for early diagnosis and prompt treatment of the ischemic bowel. |
| 關鍵詞 |
acute abdomen, ischemic bowel, warfarin |
| 分類 |
Case Report |
