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- W2977693897 abstract "An 80 year old male with a history of heart disease on anticoagulation was admitted with nausea, bilious vomiting and abdominal pain. He also reported a history of melenic stools. His INR was found to be over 20 upon admission as a result of coumadin therapy for atrial fibrillation. The patient underwent a diagnostic EGD after correction of his INR. The endoscopy revealed antral erosions but no evidence of upper GI bleeding. Abdominal x-rays showed multiple air fluid levels suggestive of small bowel obstruction. A subsequent CT scan was obtained and demonstrated a high grade obstruction at the level of the proximal to mid ileum. The patient failed to improve with nasogastric suction and supportive care. An exploratory laparotomy was then performed. At approximately 60 cm from the ileum, the small bowel was described as bruised and thickened due to ecchymosis. There was intussusception of the ecchymotic segment into adjacent small bowel causing an obstruction. The intussuscepted segment was easily reduced intra-operatively. Careful examination of the remaining bowel and colon was normal except for diverticulosis of the colon. The patient made an uneventful recovery. This is an interesting and rare case of mucosal hemorrhage secondary to coagulopathy causing intussusception. A patient may present with rare and unusual complications as a result of medical treatment. Complications such as these may be treated effectively if recognized early." @default.
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- W2977693897 date "2006-09-01" @default.
- W2977693897 modified "2023-10-18" @default.
- W2977693897 title "An Unsusal Cause of Intestinal Intussusception" @default.
- W2977693897 doi "https://doi.org/10.14309/00000434-200609001-01003" @default.
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