Intestinal Obstruction Simulated by Hemoperitoneum During Anticoagulant Therapy
Authors: BURTON M. JACOBSON
Journal: Annals of Internal Medicine (1966)

Brief Communications1 February 1966Intestinal Obstruction Simulated by Hemoperitoneum During Anticoagulant TherapyBURTON M. JACOBSON, M.D., ROBERT C. FRUIN, M.D., F.A.C.P.BURTON M. JACOBSON, M.D.Search for more papers by this author, ROBERT C. FRUIN, M.D., F.A.C.P.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-64-2-401 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe use of anticoagulants is occasionally associated with hematuria, gastrointestinal bleeding, and ecchymosis. A rare complication is bleeding into the peritoneal cavity associated with symptoms and signs simulating acute intestinal obstruction. Thirteen such cases have appeared in the literature (1-6), and we have recently observed another in our hospital.CASE HISTORYA 43-year-old man first entered the hospital on October 26, 1963, with evidence of recent and old myocardial infarction. He was given warfarin sodium (Coumadin®) and discharged 6 weeks later to continue a usual daily dose of 7.5 mg/day. Prothrombin times were determined twice a week and were consistently...References1. ELLISGRIFFITHSMACINTYRE HPWA: Hemoperitoneum; a record of 129 consecutive patients with notes on some unusual cases. Brit. J. Surg. 45: 606, 1958. CrossrefMedlineGoogle Scholar2. LILLYLEE GDRM: Complications of anticoagulant therapy. Surgery 26: 957, 1949. MedlineGoogle Scholar3. BERMANMAINELLA HFS: Toxic results of anticoagulant therapy. New York J. Med. 52: 725, 1952. MedlineGoogle Scholar4. MENDELSOHNIGLAUER SMM: Acute abdominal condition due to Dicumerol poisoning. Arch. Intern. Med. (Chicago) 92: 760, 1953. CrossrefGoogle Scholar5. PEREZ-MESA C: Paralytic ileus associated with prolonged bishydroxycoumarin (dicumarol) therapy. Surgery 48: 351, 1960. MedlineGoogle Scholar6. Case records—Massachusetts General Hospital. New Eng. J. Med. 270: 361, 1964. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Hines and Chicago, IllinoisFrom the Gastroenterology Section, Medical Service, Veterans Administration Hospital, Hines, Ill., the University of Illinois College of Medicine, and Loyola University Stritch School of Medicine, Chicago, Ill.Requests for reprints should be addressed to Robert C. Fruin, M.D., Chief of Staff, Veterans Administration Hospital, Hines, Ill. 60141. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited ByAnticoagulant therapy and the acute abdomenSkin cysts in the basal cell naevus syndromeIntramural Hematoma of the Small Intestine Presenting with Major Upper Gastrointestinal HemorrhageIntestinal obstruction caused by anticoagulantsSUBMUCOSAL JEJUNAL HAEMORRHAGE WITH PHENINDIONE 1 February 1966Volume 64, Issue 2Page: 401-402KeywordsAnticoagulant therapyAnticoagulantsHemorrhageHospital medicineMedical servicesMyocardial infarctionProthrombin timeSigns and symptomsSodium Issue Published: 1 February 1966 PDF DownloadLoading ...