warfarin and Peritoneal-Diseases

Spontaneous mesenteric hematoma isinfrequent. It has been related to prolonged anticoagulation, mainly with warfarin. No definitive treatment has been established; A treatment is suggested in hemodynamically stable patients, while in patients in shock, the surgical treatment is suggested. Our goal is topresent the case of a mesenteric hematoma associated with prolonged conservative anticoagulation with surgical resolution. Female patient with 67 years old, consulted for 24 hours of evolution abdominal pain and signs of peritonism; Computed tomography was performed with a diagnosis of spontaneous mesenteric hematoma. In the context of a clinically stable patient anticoagulated with warfarin, emergency laparotomy with intestinal resection of the segment affected by the hematoma was decided. Pathological anatomy reports massive submucosal hemorrhage. Conclusion: Surgical behavior in patients with hemodynamically stable peritonism can be safe and effective. El hematoma mesentérico espontáneo es una entidad infrecuente. Se lo ha relacionado con anticoagulación prolongada, principalmente con el uso de warfarina. No se ha establecido un tratamiento estándar hasta la fecha; sugiriéndose en pacientes hemodinámicamente estables un tratamiento conservador, mientras que en pacientes inestables el tratamiento quirúrgico. Nuestro objetivo es presentar el caso de un hematoma mesentérico asociado a anticoagulación prolongada con resolución quirúrgica. Paciente de sexo femenino de 67 años de edad, consultó por dolor abdominal de 24 horas de evolución y signos de peritonismo; se realizó tomografía computada con diagnóstico de hematoma mesentérico espontáneo. En el contexto de una paciente clínicamente estable anticoagulada con warfarina, se decidió laparotomía de urgencia con resección intestinal del segmento afectado por el hematoma. El informe de anatomía patológica revela hemorragia masiva submucosa. Conclusión: La conducta quirúrgica en pacientes con peritonismo, estables hemodinámicamente, puede considerarse seguro y efectivo.

Topics: Aged; Anticoagulants; Female; Hematoma; Humans; Mesentery; Peritoneal Diseases; Tomography, X-Ray Computed; Warfarin

Topics: Adenocarcinoma, Clear Cell; Anticoagulants; Female; Hematoma; Humans; Magnetic Resonance Imaging; Middle Aged; Ovarian Neoplasms; Peritoneal Diseases; Pulmonary Embolism; Tomography, X-Ray Computed; Warfarin

The prevalence and clinical spectrum of acute mesenteric venous thrombosis (AMVT) in Pakistan is largely unknown. The authors report two patients with acute mesenteric, portal and inferior vena cava venous thrombosis confirmed on CT imaging. The diagnoses were established within 24 hours of presentation and both patients were successfully treated with therapeutic heparin during hospital admission and continued on oral warfarin because of hypercoagulable state. The protocol that we currently use is evidence based and is leading to optimal outcome.

Topics: Acute Disease; Adult; Anticoagulants; Female; Heparin; Humans; Liver; Mesenteric Vascular Occlusion; Mesenteric Veins; Peritoneal Diseases; Tomography, X-Ray Computed; Treatment Outcome; Vena Cava, Inferior; Venous Thrombosis; Warfarin

Topics: Adult; Anemia, Hypochromic; Anticoagulants; Heart Valve Prosthesis; Hematoma; Humans; Male; Mesocolon; Peritoneal Diseases; Warfarin

Topics: Anticoagulants; Hematoma; Humans; International Normalized Ratio; Male; Middle Aged; Pancreatic Pseudocyst; Peritoneal Diseases; Retroperitoneal Space; Rupture, Spontaneous; Tomography, X-Ray Computed; Warfarin

Topics: Anticoagulants; Compartment Syndromes; Enoxaparin; Fatal Outcome; Female; Hematoma; Hemorrhage; Humans; Middle Aged; Muscle Neoplasms; Peritoneal Diseases; Radionuclide Imaging; Rectus Abdominis; Warfarin

Topics: Aged; Anticoagulants; Antifungal Agents; Drug Interactions; Female; Gastrointestinal Hemorrhage; Hematoma; Humans; Ileum; Miconazole; Peritoneal Diseases; Psoas Muscles; Warfarin

Topics: Administration, Oral; Aged; Female; Hematoma; Humans; Infarction; Intestine, Small; Peritoneal Diseases; Warfarin

Topics: Adult; Female; Hematoma; Humans; Mesentery; Peritoneal Diseases; Thrombophlebitis; Tomography, X-Ray Computed; Ultrasonography; Warfarin