Report of radiological finding of duodenal intramural hematoma after use of anticoagulants

Abstract

Introduction: The finding of intestinal intramural hematoma is rare, due to multiple factors, starting with its low incidence, 1 out of every 2500 patients receiving warfarin treatment. Its appearance is 90% associated with abdominal trauma, with few cases reported in relation to anticoagulant overdose. It is a highly infrequent cause of acute abdominal pain, but it becomes a differential diagnosis to be taken into account in a patient with a history of anticoagulation. In spontaneous cases, its location is more frequent in the jejunum (71.6%) followed by the duodenum (29.8%). Objective: To report this rare radiological finding. Methodology: In this article we detail the rare radiological finding by computed tomography of an intramural hematoma in the small intestine specifically in the second and third portion of the duodenum related to anticoagulation; from the report of a reported clinical case. Conclusion: The report of radiological findings of rare entities such as non-traumatic duodenal intramural hematoma is important and nutritious in terms of scientific evidence, expanding the range of options in patients with unspecified abdominal pain with suspected anticoagulation overdose.