Clinical Journal of Gastroenterology

, Volume 4, Issue 6, pp 387–390 | Cite as

Anticoagulant-induced intramural hematoma of the jejunum

  • Preetinder Brar
  • Iqbal Singh
  • Supreet Kaur
  • Rudra Prasad Doley
  • Rahat Brar
  • Arvind Sahni
  • Jai Dev WigEmail author
Case Report



Spontaneous intramural intestinal hematoma in patients on oral anticoagulation therapy is rare.

Materials and methods

Case report.


We report a spontaneous intramural jejunal hematoma presenting with small bowel obstruction in a patient who was on oral anticoagulation therapy with acitrom following aortic valve replacement. Contrast-enhanced computed tomography of the abdomen showed findings of intramural hematoma. The patient was successfully managed conservatively.


Abdominal pain and abnormal coagulation profile in patients on oral anticoagulants should alert the clinician to consider intramural hematoma. Early diagnosis is essential, as patients are successfully managed conservatively with good outcome.


Intramural hematoma Jejunum Acitrom International normalized ratio (INR) 


Conflict of interest

The authors declare that they have no conflict of interest.


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Copyright information

© Springer 2011

Authors and Affiliations

  • Preetinder Brar
    • 1
  • Iqbal Singh
    • 1
  • Supreet Kaur
    • 1
  • Rudra Prasad Doley
    • 1
  • Rahat Brar
    • 2
  • Arvind Sahni
    • 3
  • Jai Dev Wig
    • 1
    Email author
  1. 1.Department of General SurgeryFortis HospitalMohaliIndia
  2. 2.Department of RadiodiagnosisFortis HospitalMohaliIndia
  3. 3.Department of GastroenterologyFortis HospitalMohaliIndia

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