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이중 풍선 소장 내시경으로 진단한 와파린에 의한 소장 벽내 혈종
임동휘 ( Dong Hwi Rim ),은창수 ( Chang Soo Eun ),문신제 ( Shin Jae Moon ),배중호 ( Jung Ho Bae ),김태엽 ( Tae Yeob Kim ),이항락 ( Hang Lak Lee ),손주현 ( Joo Hyun Sohn ),전용철 ( Yong Cheol Jeon ),한동수 ( Dong Soo Han ) 대한장연구학회 2011 Intestinal Research Vol.9 No.2
Although bleeding is a major complication of oral anticoagulant therapy, warfarin-induced spontaneous intramural hematoma of the small bowel is a very rare complication. The clinical features of spontaneous intramural hematoma vary from mild abdominal pain to panperitonitis due to bowel perforation. Because spontaneous intramural hematoma can proceed to a life threatening situation, early diagnosis is of vital importance. Although there are a number of radiologic diagnostic tools available including abdominal ultrasonography and computed tomography, confirmation of the diagnosis through direct visualization of the involved bowel mucosa is very helpful. Direct confirmation of warfarin-induced spontaneous intramural hematoma of the small bowel is possible using double-balloon enteroscopy. We report a case of warfarin-induced spontaneous intramural hematoma with a review of the relevant literature. (Intest Res 2011;9:162-165)