Intestinal obstruction developed due to intestinal intramural hematoma because of warfarin overdose

Abstract

Oral anticoagulant therapy with warfarin is commonly used to prevent thromboembolic events in high risk patients.A spontaneous intramural intestinal hematoma is a rare complication of the anticoagulant therapy.Small intestinal obstruction, which is developed due to intramural hematoma, is an even more rarely encountered state. Early diagnosis is very important since it responses to the treatment very well without requiring operation on the most patients. In our unstable case, although there is no risk factor, INR was reduced quickly by using prothrombin complex concentrate (Factor II/VII/IX); this raised the possibility of patient's treatment without complication.