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Korean J Gastrointest Endosc > Volume 40(1); 2010 > Article
Korean Journal of Gastrointestinal Endoscopy 2010;40(1): 54-57.
이중풍선 소장내시경으로 진단한 항응고제 장폐쇄증 1예
김용욱ㆍ장현주ㆍ김지연ㆍ이승화ㆍ박선욱ㆍ고동희ㆍ최민호ㆍ이 진
한림대학교 의과대학 내과학교실
A Case of Anticoagulant Ileus Diagnosed by Double Balloon Enteroscopy
Yong Wook Kim, M.D., Hyun Joo Jang, M.D., Ji Youn Kim, M.D., Seung Hwa Lee, M.D., Seon Wook Park, M.D., Dong Hee Koh, M.D., Min Ho Choi, M.D. and Jin Lee, M.D.
Department of Internal Medicine, Hallym University College of Medicine, Seoul, Korea
Abstract
Anticoagulant ileus is a rare complication that is caused by an intramural hematoma, and the hematoma is due to excessive anticoagulant therapy. The features of anticoagulant ileus vary from slight abdominal pain to vomiting, severe abdominal pain and abdominal rebound tenderness that are due to intestinal obstruction. Anticoagulant ileus is sometimes accompanied by gastrointestinal bleeding, peritoneal bleeding and panperitonitis due to intestinal perforation. The diagnosis of anticoagulant ileus has been made using such radiographic methods as enhanced abdominal computed tomography and small bowel follow-through. We were able to confirm a case of anticoagulant ileus with bleeding by performing double balloon enteroscopy. We report on this case and we review the relevant literature. (Korean J Gastrointest Endosc 2010;40:54-57)
Key Words: Anticoagulant, Ileus, Double balloon enteroscopy
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