De. Gutstein et Sj. Rosenberg, NONTRAUMATIC INTRAMURAL HEMATOMA OF THE DUODENUM COMPLICATING WARFARIN THERAPY, The Mount Sinai journal of medicine, 64(4-5), 1997, pp. 339-341
A 74-year-old man receiving chronic anticoagulant therapy presented wi
th symptoms of acute small bowel obstruction. He was subsequently foun
d to have an intramural hematoma of the duodenum. Early noninvasive di
agnosis was possible using computed tomography. Conservative therapy p
roved successful in allowing resolution of obstructive symptoms. This
case illustrates the effectiveness of a conservative approach to intra
mural hematoma of the duodenum, even in patients requiring anticoagula
tion.