A Case of Anticoagulant Ileus Diagnosed by Double Balloon Enteroscopy.
- Author:
Yong Wook KIM
1
;
Hyun Joo JANG
;
Ji Youn KIM
;
Seung Hwa LEE
;
Seon Wook PARK
;
Dong Hee KOH
;
Min Ho CHOI
;
Jin LEE
Author Information
1. Department of Internal Medicine, Hallym University College of Medicine, Seoul, Korea. jhj1229@freechal.com
- Publication Type:Case Report
- Keywords:
Anticoagulant;
Ileus;
Double balloon enteroscopy
- MeSH:
Abdominal Pain;
Double-Balloon Enteroscopy;
Hematoma;
Hemorrhage;
Ileus;
Intestinal Obstruction;
Intestinal Perforation;
Vomiting
- From:Korean Journal of Gastrointestinal Endoscopy
2010;40(1):54-57
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Anticoagulant ileus is a rare complication that is caused by an intramural hematoma, and the hematoma is due to excessive anticoagulant therapy. The features of anticoagulant ileus vary from slight abdominal pain to vomiting, severe abdominal pain and abdominal rebound tenderness that are due to intestinal obstruction. Anticoagulant ileus is sometimes accompanied by gastrointestinal bleeding, peritoneal bleeding and panperitonitis due to intestinal perforation. The diagnosis of anticoagulant ileus has been made using such radiographic methods as enhanced abdominal computed tomography and small bowel follow-through. We were able to confirm a case of anticoagulant ileus with bleeding by performing double balloon enteroscopy. We report on this case and we review the relevant literature.
