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The development of abdominal pain in the patient receiving anticoagulant therapy is more likely to pose a diagnostic dilemma. A group of intra-abdominal bleeding syndromes, which are extremely rare in patients with normal haemostasis, have been described in patients on anticoagulant therapy. Theses syndromes are of particular interest to surgeons because they simulate acute surgical conditions of the abdomen. We herein report the preoperative diagnosis of a spontaneous intramural hematoma of the small bowel by computed tomography. The authors conclude that CT should be used early in the diagnostic evaluation of abdominal pain and of acute abdomen in patients receiving anticoagulant therapy. Indications for the operative management of these patients include active bleeding, pneumoperitoneum, failure to improve with conservative management within 72 hours, worsening of symptoms, and uncertain diagnosis.
B Acea Nebril, and
F Sánchez González, and
J Aguirrezabalaga González, and
C Crespo García, and
M Lago Novoa, and
N Blanco Freire
March 1978,
The New Zealand medical journal,
B Acea Nebril, and
F Sánchez González, and
J Aguirrezabalaga González, and
C Crespo García, and
M Lago Novoa, and
N Blanco Freire
April 1969,
The American surgeon,
B Acea Nebril, and
F Sánchez González, and
J Aguirrezabalaga González, and
C Crespo García, and
M Lago Novoa, and
N Blanco Freire
January 1977,
Mayo Clinic proceedings,
B Acea Nebril, and
F Sánchez González, and
J Aguirrezabalaga González, and
C Crespo García, and
M Lago Novoa, and
N Blanco Freire
May 1973,
The Australian and New Zealand journal of surgery,
B Acea Nebril, and
F Sánchez González, and
J Aguirrezabalaga González, and
C Crespo García, and
M Lago Novoa, and
N Blanco Freire
April 1980,
Journal de radiologie,
B Acea Nebril, and
F Sánchez González, and
J Aguirrezabalaga González, and
C Crespo García, and
M Lago Novoa, and
N Blanco Freire
July 2005,
Nihon Hinyokika Gakkai zasshi. The japanese journal of urology,
B Acea Nebril, and
F Sánchez González, and
J Aguirrezabalaga González, and
C Crespo García, and
M Lago Novoa, and
N Blanco Freire
March 1987,
Israel journal of medical sciences,
B Acea Nebril, and
F Sánchez González, and
J Aguirrezabalaga González, and
C Crespo García, and
M Lago Novoa, and
N Blanco Freire
January 1997,
The Mount Sinai journal of medicine, New York,
B Acea Nebril, and
F Sánchez González, and
J Aguirrezabalaga González, and
C Crespo García, and
M Lago Novoa, and
N Blanco Freire
January 1977,
Journal belge de radiologie,
B Acea Nebril, and
F Sánchez González, and
J Aguirrezabalaga González, and
C Crespo García, and
M Lago Novoa, and
N Blanco Freire
January 1982,
International surgery,
