Spontaneous Intramural Hematoma of the Jejunum Induced by Anticoagulant Therapy
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- Hirosawa Takashi
- Department of Surgery, Tohoku University Graduate School of Medicine
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- Kudoh Katsuyoshi
- Department of Surgery, Tohoku University Graduate School of Medicine
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- Aoki Takeshi
- Department of Surgery, Tohoku University Graduate School of Medicine
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- Ohnuma Shinobu
- Department of Surgery, Tohoku University Graduate School of Medicine
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- Tanaka Naoki
- Department of Surgery, Tohoku University Graduate School of Medicine
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- Musha Hiroaki
- Department of Surgery, Tohoku University Graduate School of Medicine
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- Motoi Fuyuhiko
- Department of Surgery, Tohoku University Graduate School of Medicine
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- Kamei Takashi
- Department of Surgery, Tohoku University Graduate School of Medicine
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- Naitoh Takeshi
- Department of Surgery, Tohoku University Graduate School of Medicine
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- Unno Michiaki
- Department of Surgery, Tohoku University Graduate School of Medicine
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説明
<p>A spontaneous, intramural, small-bowel hematoma requiring a surgery is a rare complication of anticoagulant therapy. We present a case of an 82-year-old man who developed abdominal pain in the setting of abnormal coagulation function related to warfarin therapy used as chronic prophylaxis against recurrent pulmonary embolism. Computed tomography (CT) showed wall thickening and luminal narrowing of the jejunum. Dilation of the small bowel proximal to the thickening was also present, indicative of small bowel obstruction. Initially, the patient was treated conservatively, but he later required laparotomy due to worsening of his general condition. A 50cm jejunal segment was resected in order to relieve the intestinal obstruction and to arrest the bleeding. For intramural, small-bowel hematoma, conservative medical management should be the first treatment of choice, but surgical intervention may be indicated if conservative treatment is not successful.</p>
収録刊行物
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- 日本外科系連合学会誌
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日本外科系連合学会誌 43 (4), 611-615, 2018
日本外科系連合学会
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詳細情報 詳細情報について
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- CRID
- 1390845702278754816
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- NII論文ID
- 130007706188
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- ISSN
- 18829112
- 03857883
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- Crossref
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可