Yıl: 2017 Cilt: 25 Sayı: 3 Sayfa Aralığı: 116 - 118 Metin Dili: İngilizce DOI: 10.5336/caserep.2017-55243 İndeks Tarihi: 19-03-2019

Warfarin Therapy Induced a Rare Complication: Spontaneous Intramural Hematoma of the Jejunum: Case Report

Öz:
Warfarin is an oral anticoagulant drug that prevents clotting, used in treating many diseases as well as prophylaxis. Despite its widespread use and efficacy, it may lead to a wide range ofadverse effects, mainly bleeding, due to its quite narrow therapeutic index and interaction withother medications. Most commonly, it may result in epistaxis, hematuria and subcutaneous hemorrhage. In addition, it is likely to cause bleeding in the gastrointestinal tract, soft tissues, and cerebral region. It is rare to develop intramural hematoma in the jejunum resulted from warfarintoxicity. Here, we present a case admitted to the emergency department with abdominal pain, anddiagnosed with intramural hematoma after physical examination, laboratory findings and imaging.Emergency physicians should consider intestinal hematoma as differential diagnosis in patientsusing warfarin and presenting with abdominal pain.
Anahtar Kelime:

Warfarin Tedavisine Bağlı Nadir Bir Komplikasyon: Jejunumda Spontan İntramural Hematom

Öz:
Warfarin pıhtılaşmayı önleyen oral antikoagulan ilaçtır. Birçok hastalık tedavisinde ve profilaksisinde kullanılmaktadır. Yaygın kullanım alanına ve etkinliğine rağmen, terapötik indeksinin oldukça dar ve ilaçlarla etkileşimin olması, kanama başta olmak üzere birçok yan etkilere sebep olmaktadır. En sık epistaksis,hematüri,cilt altı hemorajiye sebep olabilir. Bunun yanı sıra gastrointestinal sistem, yumuşak doku, serebral bölgede kanamalara yol açabilir. Warfarin toksisitesine bağlı jejunumda intramural hematom gelişmesi nadir görülen bir olaydır. Acil servise karın ağrısı ile başvuran, ayrıntılı hikaye, fizik muayene, laboratuvar bulguları ve görüntülemeler sonrası intramural hematom tanısı konulan olgu sunuldu. Acil servise karın ağrısı ile başvuran ve warfarin kullanan hastalarda ayırıcı tanıda intestinal hematom düşünülmelidir.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık
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APA ARSLAN H, GÜL M, Cander B, GÜNER H, MEDNI M (2017). Warfarin Therapy Induced a Rare Complication: Spontaneous Intramural Hematoma of the Jejunum: Case Report. , 116 - 118. 10.5336/caserep.2017-55243
Chicago ARSLAN Hanifi,GÜL MEHMET,Cander Başar,GÜNER Hakan,MEDNI Mohamed Refik Warfarin Therapy Induced a Rare Complication: Spontaneous Intramural Hematoma of the Jejunum: Case Report. (2017): 116 - 118. 10.5336/caserep.2017-55243
MLA ARSLAN Hanifi,GÜL MEHMET,Cander Başar,GÜNER Hakan,MEDNI Mohamed Refik Warfarin Therapy Induced a Rare Complication: Spontaneous Intramural Hematoma of the Jejunum: Case Report. , 2017, ss.116 - 118. 10.5336/caserep.2017-55243
AMA ARSLAN H,GÜL M,Cander B,GÜNER H,MEDNI M Warfarin Therapy Induced a Rare Complication: Spontaneous Intramural Hematoma of the Jejunum: Case Report. . 2017; 116 - 118. 10.5336/caserep.2017-55243
Vancouver ARSLAN H,GÜL M,Cander B,GÜNER H,MEDNI M Warfarin Therapy Induced a Rare Complication: Spontaneous Intramural Hematoma of the Jejunum: Case Report. . 2017; 116 - 118. 10.5336/caserep.2017-55243
IEEE ARSLAN H,GÜL M,Cander B,GÜNER H,MEDNI M "Warfarin Therapy Induced a Rare Complication: Spontaneous Intramural Hematoma of the Jejunum: Case Report." , ss.116 - 118, 2017. 10.5336/caserep.2017-55243
ISNAD ARSLAN, Hanifi vd. "Warfarin Therapy Induced a Rare Complication: Spontaneous Intramural Hematoma of the Jejunum: Case Report". (2017), 116-118. https://doi.org/10.5336/caserep.2017-55243
APA ARSLAN H, GÜL M, Cander B, GÜNER H, MEDNI M (2017). Warfarin Therapy Induced a Rare Complication: Spontaneous Intramural Hematoma of the Jejunum: Case Report. Türkiye Klinikleri Journal of Case Reports, 25(3), 116 - 118. 10.5336/caserep.2017-55243
Chicago ARSLAN Hanifi,GÜL MEHMET,Cander Başar,GÜNER Hakan,MEDNI Mohamed Refik Warfarin Therapy Induced a Rare Complication: Spontaneous Intramural Hematoma of the Jejunum: Case Report. Türkiye Klinikleri Journal of Case Reports 25, no.3 (2017): 116 - 118. 10.5336/caserep.2017-55243
MLA ARSLAN Hanifi,GÜL MEHMET,Cander Başar,GÜNER Hakan,MEDNI Mohamed Refik Warfarin Therapy Induced a Rare Complication: Spontaneous Intramural Hematoma of the Jejunum: Case Report. Türkiye Klinikleri Journal of Case Reports, vol.25, no.3, 2017, ss.116 - 118. 10.5336/caserep.2017-55243
AMA ARSLAN H,GÜL M,Cander B,GÜNER H,MEDNI M Warfarin Therapy Induced a Rare Complication: Spontaneous Intramural Hematoma of the Jejunum: Case Report. Türkiye Klinikleri Journal of Case Reports. 2017; 25(3): 116 - 118. 10.5336/caserep.2017-55243
Vancouver ARSLAN H,GÜL M,Cander B,GÜNER H,MEDNI M Warfarin Therapy Induced a Rare Complication: Spontaneous Intramural Hematoma of the Jejunum: Case Report. Türkiye Klinikleri Journal of Case Reports. 2017; 25(3): 116 - 118. 10.5336/caserep.2017-55243
IEEE ARSLAN H,GÜL M,Cander B,GÜNER H,MEDNI M "Warfarin Therapy Induced a Rare Complication: Spontaneous Intramural Hematoma of the Jejunum: Case Report." Türkiye Klinikleri Journal of Case Reports, 25, ss.116 - 118, 2017. 10.5336/caserep.2017-55243
ISNAD ARSLAN, Hanifi vd. "Warfarin Therapy Induced a Rare Complication: Spontaneous Intramural Hematoma of the Jejunum: Case Report". Türkiye Klinikleri Journal of Case Reports 25/3 (2017), 116-118. https://doi.org/10.5336/caserep.2017-55243