Intestinal obstruction as a result of intra-abdominal hematoma: a complication of low molecular weight heparin in pediatric patients.

Q3 Medicine
M. Martínez Díaz, A. Costa Roig, ME Carazo Palacios, I. Vigúria Marco, A. Marco Macián, D. Crehuet Gramatyka
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引用次数: 0

Abstract

INTRODUCTION Hematomas are a rare cause of intestinal obstruction. Subcutaneous heparin can bring about direct punctures on small bowel loops, potentially leading to traumatic hematoma and intestinal obstruction. CASE REPORTS We present three cases of pediatric patients with clinical signs of intestinal obstruction treated with subcutaneous heparin. Two cases had increased acute-phase reactants and radiological signs of intestinal suffering, so surgical treatment was decided upon, with intramural hematoma emerging as an intraoperative finding. The third case was conservatively managed with anticoagulant discontinuation and gut rest, since the patient had an adequate general condition and no findings compatible with ischemia or necrosis were noted in the complementary tests. DISCUSSION The administration of subcutaneous heparin may cause intestinal wall hematomas due to its anticoagulating effect and to the risk of inadvertent punctures on small bowel loops.
腹腔内血肿导致的肠梗阻:儿科低分子量肝素并发症。
简介血肿是导致肠梗阻的罕见原因。皮下注射肝素可直接穿刺小肠襻,可能导致创伤性血肿和肠梗阻。病例报告我们介绍了三例临床表现为肠梗阻的儿科患者,均接受了皮下注射肝素治疗。其中两例患者急性期反应物升高,放射学表现为肠梗阻,因此决定进行手术治疗,术中发现硬膜内血肿。第三例患者的全身状况良好,辅助检查也未发现与缺血或坏死相匹配的结果,因此采用了停用抗凝剂和肠道休息的保守治疗方法。讨论由于皮下肝素的抗凝作用和不慎刺穿小肠襻的风险,皮下肝素可能会导致肠壁血肿。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.40
自引率
0.00%
发文量
64
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