Acute Intestinal Obstruction on a Spontaneous Intra-Parietal Hematoma: Rare Complication Induced by Anti-coagulant Therapy
Published: 2020-06-02
Page: 80-84
Issue: 2020 - Volume 3 [Issue 1]
Mounir Bouali
Department of Visceral Surgical Emergency (P35), University of Hassan II Casablanca, CHU Ibn ROCHD, Casablanca, Morocco.
Issam Hamrerras *
Department of Visceral Surgery, University of Hassan II Casablanca, Faculty of Medicine and Pharmacy, UHC Ibn ROCHD, Casablanca, Morocco.
Abdoulaye Harouna Bonkoukou
Department of Visceral Surgery, University of Hassan II Casablanca, Faculty of Medicine and Pharmacy, UHC Ibn ROCHD, Casablanca, Morocco.
Abdelillah El. Bakouri
Department of Visceral Surgical Emergency (P35), University of Hassan II Casablanca, CHU Ibn ROCHD, Casablanca, Morocco.
Fatimazahra Bensardi
Department of Visceral Surgical Emergency (P35), University of Hassan II Casablanca, CHU Ibn ROCHD, Casablanca, Morocco.
Khalid El. Hattabi
Department of Visceral Surgical Emergency (P35), University of Hassan II Casablanca, CHU Ibn ROCHD, Casablanca, Morocco.
Abdelaziz Fadil
Department of Visceral Surgical Emergency (P35), University of Hassan II Casablanca, CHU Ibn ROCHD, Casablanca, Morocco.
*Author to whom correspondence should be addressed.
Abstract
The acute bowel occlusion for the small intestine parietal hematoma due to anticoagulant treatment or vitamin K antagonists (VKA) is a rare pathology. Few cases have been reported in literature. The often clinical presentation is an acute abdomen. The evolution under medical treatment (conservative treatment) is favorable. In few cases, there is a persistance of occlusion and the surgical treatment is indicated. We report a case of a 67 year old male patient, known to have valvulopathy under VKA, who presented an intestinal occlusion due to parietal hematoma discovered on abdominal CT and who benefited medical treatment with a favorable evolution.
Keywords: Acute intestinal obstruction, complication induced by anti-coagulant therapy, intramural bowel hematoma.