warfarin and Hemoperitoneum

The patients on anticoagulation therapy especially warfarin can develop gastrointestinal bleed, gum bleeding, hematuria or ecchymosis. Rarely do such patients present with hemoperitoneum producing symptoms. Hemoperitoneum can produce shock, cause compression symptoms or may even be fatal. Such patients can be managed conservatively or may need surgical exploration for ongoing bleeding or decompression. We had a patient taking warfarin who presented with hemoperitoneum producing intestinal symptoms. The patient was managed conservatively with fluid and blood product replacement and stopping warfarin. The benefits of thromboprophylaxis and the risks of bleeding should be carefully evaluated and the dose of warfarin carefully adjusted.

Topics: Adult; Anticoagulants; Female; Hemoperitoneum; Humans; International Normalized Ratio; Intestinal Obstruction; Male; Treatment Outcome; Warfarin

Topics: Anticoagulants; Crohn Disease; Diagnosis, Differential; Female; Gastrointestinal Hemorrhage; Hematoma; Hemoperitoneum; Humans; Ileal Diseases; Male; Middle Aged; Radiography; Warfarin

Topics: Abdominal Wall; Aged; Anti-Bacterial Agents; Anticoagulants; Aza Compounds; Blood Coagulation Tests; Drug Interactions; Drug Therapy, Combination; Female; Fluoroquinolones; Heart Valve Prosthesis; Hematoma; Hemoperitoneum; Humans; Mitral Valve Insufficiency; Moxifloxacin; Pneumonia, Bacterial; Quinolines; Thromboembolism; Tomography, X-Ray Computed; Warfarin

Topics: Aged, 80 and over; Anticoagulants; Female; Gastrointestinal Hemorrhage; Hematoma; Hemoperitoneum; Humans; Intestine, Small; Medication Adherence; Warfarin

Topics: Adult; Anticoagulants; Corpus Luteum; Female; Hemoperitoneum; Humans; Protein S Deficiency; Rupture, Spontaneous; Warfarin

Topics: Anticoagulants; Contraceptives, Oral; Female; Hemoperitoneum; Hemostasis; Humans; Ovarian Cysts; Retrospective Studies; Rupture, Spontaneous; Warfarin

Topics: Aged; Anti-Bacterial Agents; Anticoagulants; Bronchitis; Diagnosis, Differential; Doxycycline; Drug Therapy, Combination; Female; Hemoperitoneum; Humans; Stroke; Tomography, X-Ray Computed; Warfarin

Recurrent massive haemoperitoneum of ovarian origin during anticoagulant therapy in a patient with mitral valve prosthesis is described. The patient was treated conservatively on both occasions. The authors suggest that a trial of conservative approach may be considered in such patients.

Topics: Adult; Blood Transfusion; Corpus Luteum; Erythrocyte Transfusion; Female; Heart Valve Prosthesis; Hemoperitoneum; Humans; Mitral Valve; Rheumatic Heart Disease; Warfarin

A case of haemoperitoneum in a patient taking warfarin sodium, originating in the wall of a perforated, inflamed gallbladder, is presented. To the best of our knowledge such a case has not been reported previously. Diagnostic and therapeutic aspects are briefly discussed.

Topics: Acute Disease; Cholecystitis; Hemoperitoneum; Humans; Male; Middle Aged; Warfarin

Retroperitoneal bleeding in hemodialysis patients has been rearely reported. The diagnosis of this entity in the nondialysis patient is difficult, and factors such as chronic anemia and hypotensive episodes during hemodialysis are adding difficulty to the early diagnosis and therapeutic approach. A patient receiving long-term hemodialysis anticoagulation therapy had retroperitoneal bleeding and died without having his condition diagnosed: the retroperitoneal bleeding was masked by other events occurring during hemodialysis.

Topics: Adult; Chronic Disease; Glomerulonephritis; Hematocrit; Hemoperitoneum; Heparin; Humans; Male; Renal Dialysis; Retroperitoneal Space; Warfarin

The unpredictability of hemorrhagic complications during anticoagulant therapy is well known. An unusual case of massive intraperitoneal hemorrhage from a ruptured corpus luteum during such therapy is presented. That this complication is uncommon may be because relatively few premenopausal women are placed on anticoagulant therapy. In addition, the most likely condition for which premenopausal women are given anticoagulants is thrombophlebitis associated with pregnancy and childbirth when ovulation is inhibited.

Topics: Corpus Luteum; Female; Hematuria; Hemoperitoneum; Heparin; Humans; Middle Aged; Ovarian Diseases; Rupture, Spontaneous; Thrombophlebitis; Warfarin

Topics: Adolescent; Adult; Anticoagulants; Cardiac Surgical Procedures; Female; Heart Septal Defects, Atrial; Hemoperitoneum; Hemorrhage; Heparin; Humans; Ovarian Cysts; Ovary; Renal Dialysis; Rupture; Warfarin

Topics: Acute Kidney Injury; Aged; Anticoagulants; Hematoma; Hematuria; Hemoperitoneum; Heparin; Humans; Male; Retroperitoneal Space; Warfarin

Topics: Abdomen, Acute; Hemoperitoneum; Humans; Intestinal Obstruction; Jejunum; Male; Middle Aged; Warfarin

Topics: Abdomen, Acute; Barium Sulfate; Blood Pressure; Blood Transfusion; Cerebrovascular Disorders; Duodenum; Female; Hematemesis; Hematuria; Hemoperitoneum; Humans; Intestinal Obstruction; Jejunum; Laparotomy; Male; Melena; Middle Aged; Myocardial Infarction; Prothrombin Time; Radiography; Vitamin K 1; Warfarin

Topics: Aged; Duodenal Obstruction; Hematoma; Hematuria; Hemoperitoneum; Humans; Laparotomy; Male; Prothrombin Time; Vitamin K 1; Warfarin

Topics: Aged; Electrocardiography; Hemoperitoneum; Humans; Intestinal Obstruction; Male; Mesenteric Vascular Occlusion; Middle Aged; Myocardial Infarction; Vitamin K; Warfarin