Spontaneous intramural hematoma of the small bowel in anticoagulated patients-Insights into management: A case report.

ABSTRACT: Intramural hematoma of the small bowel is a rare but potentially life-threatening complication of anticoagulation therapy, most commonly associated with warfarin use. This report presents two cases highlighting the clinical presentation and management of this condition. The first case involved a 72-year-old male with a history of heart valve replacement who presented with severe abdominal pain, nausea, and vomiting; imaging revealed a jejunal intramural hematoma and a significantly elevated INR. The second case involved a 51-year-old female with atrial fibrillation who experienced acute abdominal pain and partial bowel obstruction; CT imaging showed an intramural hematoma in the ileum with associated hemoperitoneum. Both patients were treated conservatively through cessation of warfarin, a

SUBMITTER: Hajihashemi A 

PROVIDER: S-EPMC12320024 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature