Rationale: Bleeding in the gastrointestinal tract is a common complication of oral anticoagulant therapy (AT), and it usually appears as mucosal erosion or ulcer; however, intestinal submucosal hematoma (ISH) is an uncommon cause of hemorrhage. Patient concerns: This report presents the case of a 70-year-old woman with acute hematochezia induced by AT. She underwent computed tomography and endoscopy. Diagnoses: Colon submucosal hematoma. Interventions: Conservative treatment had no effect, and the patient underwent emergency surgery. Outcomes: Surgical resection showed hemorrhage and necrosis in the left colon, and the patient recovered 24hours after surgery and continued AT. Lessons: The present case indicates that the ISH should be kept in mind as a complication of AT. It can be managed conservatively in some stable patients, but emergency surgery may be needed in some serious situations.
CITATION STYLE
Yu, W. H., Feng, C., Han, T. M., Ji, S. X., Zhang, L., & Dai, Y. Y. (2018). Surgically treated rare intestinal bleeding due to submucosal hematoma in a patient on oral anticoagulant therapy: A case report. Medicine (United States), 97(46). https://doi.org/10.1097/MD.0000000000013252
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