Anticoagulant-induced intramural hematoma of the jejunum.

BACKGROUND: Spontaneous intramural intestinal hematoma in patients on oral anticoagulation therapy is rare. MATERIALS AND METHODS: Case report. RESULTS: 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. CONCLUSION: 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.