ABSTRACT
Spontaneous intramural intestinal hemorrhage is highly infrequent. The most common cause is overdose of oral anticoagulants. Clinical presentation usually consists of abdominal pain and intestinal obstruction. The diagnostic imaging technique of choice is computed tomography. Spontaneous intramural intestinal hemorrhage usually resolves spontaneously and consequently the treatment of choice is non-operative. Surgery is reserved for complicated processes or when the diagnosis is uncertain. We present two cases. The first was due to overanticoagulation by acenocoumarol, and the second was an exceptional complication in a hemophiliac patient.
Subject(s)
Acenocoumarol/adverse effects , Anticoagulants/adverse effects , Gastrointestinal Hemorrhage/etiology , Hemophilia A/complications , Intestine, Small , Gastrointestinal Hemorrhage/diagnosis , Gastrointestinal Hemorrhage/therapy , HumansSubject(s)
BCG Vaccine/adverse effects , Carcinoma, Transitional Cell/drug therapy , Epididymitis/microbiology , Orchitis/microbiology , Tuberculosis, Male Genital/etiology , Urinary Bladder Neoplasms/drug therapy , Administration, Intravesical , Aged , BCG Vaccine/administration & dosage , Carcinoma, Transitional Cell/surgery , Chemotherapy, Adjuvant , Cutaneous Fistula/diagnostic imaging , Epididymis/diagnostic imaging , Epididymitis/diagnostic imaging , Fistula/diagnostic imaging , Genital Diseases, Male/diagnostic imaging , Humans , Male , Orchitis/diagnostic imaging , Tuberculosis, Male Genital/diagnostic imaging , Ultrasonography, Doppler, Color , Urinary Bladder Neoplasms/surgeryABSTRACT
La hemorragia intramural intestinal espontánea es un cuadro muy infrecuente, casi siempre secundario a una sobredosificación de anticoagulantes. Suele manifestarse con dolor abdominal y obstrucción intestinal. La prueba diagnóstica de elección es la tomografía computarizada. Suele resolverse espontánemente, por lo que el tratamiento de elección es conservador, y la cirugía se reserva para cuadros complicados o de duda diagnóstica. Presentamos 2 casos, uno secundario a un exceso de dosis de acenocumarol y otro mucho más excepcional, en un paciente hemofílico
Spontaneous intramural intestinal hemorrhage is highly infrequent. The most common cause is overdose of oral anticoagulants. Clinical presentation usually consists of abdominal pain and intestinal obstruction. The diagnostic imaging technique of choice is computed tomography. Spontaneous intramural intestinal hemorrhage usually resolves spontaneously and consequently the treatment of choice is non-operative. Surgery is reserved for complicated processes or when the diagnosis is uncertain. We present two cases. The first was due to overanticoagulation by acenocoumarol, and the second was an exceptional complication in a hemophiliac patient
