artículo
Obstrucción intestinal secundaria a hematoma intramural espontáneo: Caso clínico
Fecha
2022Registro en:
10.4067/S0034-98872022001201681
07176163 00349887
0034-9887
0034-98872022001201681
SCOPUS_ID:85168583695
Autor
Besser Pimentel, Nicolás Fernando
Riquoir Altamirano, Christophe Francis
Bellolio Roth, Felipe
Institución
Resumen
Spontaneous intramural hematoma (IMH) is an uncommon cause of bowel obstruction, generally secondary to trauma. Even rarer is the spontaneous hematoma, mainly described in anticoagulated patients. We report a 73-year-old female in anticoagulant therapy who presented with a bowel obstruction. A computed tomography (CT) of the abdomen showed a segmentary wall thickening of the distal jejunum, compatible with an IMH which obliterated the lumen and produced dilatation of the proximal bowel loops. Support management was initiated, achieving satisfactory evolution, allowing her discharge 12 days after admission.