Assuntos
Endocardite Bacteriana/microbiologia , Comunicação Interventricular/complicações , Vasculite por IgA/etiologia , Estenose da Valva Pulmonar/complicações , Antibacterianos/uso terapêutico , Biópsia , Ecocardiografia Doppler em Cores , Ecocardiografia Transesofagiana , Endocardite Bacteriana/complicações , Endocardite Bacteriana/diagnóstico , Endocardite Bacteriana/tratamento farmacológico , Imunofluorescência , Comunicação Interventricular/diagnóstico , Comunicação Interventricular/cirurgia , Humanos , Vasculite por IgA/diagnóstico , Vasculite por IgA/tratamento farmacológico , Masculino , Pessoa de Meia-Idade , Valor Preditivo dos Testes , Estenose da Valva Pulmonar/diagnóstico , Fatores de RiscoRESUMO
Intramural hematomas of the colon are rare. Intramural hematomas of the gastrointestinal tract often result from blunt trauma, although they may also occur spontaneously in patients taking anticoagulants or those with blood dyscrasia. Affected patients present with abdominal pain and lower gastrointestinal bleeding, as well as occasional signs of intestinal obstruction. The diagnosis is made using colonoscopy and abdominal CT. Resection of the involved bowel segment is accepted as the standard therapy; however, experience with conservative treatment has also been reported. We herein report the case of a 62-year-old woman taking warfarin who was diagnosed with a colonic intramural hematoma and completely recovered with conservative management.
