PATIENTS WITH SPONTANEOUS INTRAMURAL HEMATOMA AND OUR CLINICAL APPROACH

Abstract

Aim: Non-traumatic, spontaneous small intestinal hematomas are very rare clinical conditions, diagnoses of which are difficult. These cases, in whom the diagnosis is made by the help of advanced visualization techniques, are usually attributed to anticoagulant therapy and obtaining a careful medical historyis suggested. We planned a retrospective study on our cases with spontaneous intestinal hematoma. Material and Method: In thismulti-center study involving three medical facilities, patients diagnosed with spontaneous intestinal hematoma between January 2010 and July 2016 were included in the study and their demographic data was recorded along with their treatments and radiological methods. Patients whose accurate data could not be acquired were excluded from the study. Results: A total number of 11 patients were diagnosed, 6 (54.5%) of which were women and 5 (45.5%) of them were men. The average age of the study group was 67.4 (58-78) years and the duration between the initiation of their complaints and the time of diagnosis was 5.0 (1-15) days. All patients were under anticoagulant therapy and their average INR value was 5.8 (3.2-8.4) when they were first admitted. The affected segment was jejunum in 6 patients (54.5%) whereas the ileum was involved in 5 patients (45.5%). All (100%) patients were discharged from the hospital as the result of conservative treatment. Discussion: Spontaneous intramural hematoma is a rare condition that has to be kept in mind when treating patients with anticoagulant therapy. Conservative treatment generally gives pleasing results in this condition.

C1 [Carti, Erdem Baris; Yilmaz, Eyup Murat] Adnan Menderes Univ, Tip Fak, Genel Cerrahi AD, TR-09100 Aydin, Turkey.

[Ucar, Deniz; Yilmaz, Mehmet] Bozyaka Egitim & Arastirma Hastanesi, Genel Cerrahi Klin, Izmir, Turkey.

[Kutluturk, Koray] Inonu Univ, Tip Fak, Genel Cerrahi AD, Malatya, Turkey.