A retrospective review of patients with non-traumatic spontaneous intramural hematoma

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dc.authorid0000-0002-3939-8293en_US
dc.authorid0000-0003-1218-2625en_US
dc.contributor.authorAltintoprak, Fatih
dc.contributor.authorDikicier, Enis
dc.contributor.authorAkyuz, Muhammed
dc.contributor.authorDeveci, Uğur
dc.contributor.authorArslan, Yusuf
dc.contributor.authorGunduz, Yasemin
dc.contributor.authorYucel, Murat
dc.contributor.authorDilek, Osman Nuri
dc.contributor.authorDeveci, Uğur
dc.date.accessioned2024-07-12T21:44:09Z
dc.date.available2024-07-12T21:44:09Z
dc.date.issued2013en_US
dc.departmentMaltepe Üniversitesien_US
dc.description.abstractBackground/aims: Non-traumatic spontaneous intramural hematoma of the small intestine is a rare clinical condition, most commonly caused by over-anticoagulation. In this study, the clinical approach algorithm for patients diagnosed with a spontaneous isolated intramural hematoma of the small intestine associated with over-anticoagulation and the long-term outcomes of the patients are presented. Material and Methods: The records of patients who were diagnosed with intramural hematoma in 3 different medical faculty hospitals between 2007 and 2011 were retrospectively analyzed. After excluding patients with trauma history, hematoma in organs other than the small intestine, and with etiological factors other than over-anticoagulation, 15 patients with an isolated intramural hematoma of the small intestine were evaluated within the scope of the study. Results: The sites of first admission were emergency departments for 10 patients (66.6%) and other clinics for 5 patients (33.3%). Thirteen patients (86.6%) received medical treatment and two patients (13.3%) underwent surgical treatment. During the hospitalization period, a total of two patients (13.3%) died. Out of the 11 patients with an average follow-up of 22 months (range: 4-48 months), no patient had a relapse of intramural hematoma and three patients (27.7%) died due to reasons not related to intramural hematoma. Conclusion: Intramural hematoma diagnosis should be known by all physicians, because the site of first admission may be different clinics, since the clinical presentation begins with non-specific complaints. Early and accurate diagnosis by non-invasive methods will preclude unnecessary surgical interventions.en_US
dc.identifier.doi10.4318/tjg.2013.0697
dc.identifier.endpage399en_US
dc.identifier.issn1300-4948
dc.identifier.issn2148-5607
dc.identifier.issue5en_US
dc.identifier.pmid24557962en_US
dc.identifier.scopus2-s2.0-84892183972en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage392en_US
dc.identifier.urihttps://dx.doi.org/10.4318/tjg.2013.0697
dc.identifier.urihttps://hdl.handle.net/20.500.12415/7680
dc.identifier.volume24en_US
dc.identifier.wosWOS:000329765600004en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherAVESen_US
dc.relation.ispartofTURKISH JOURNAL OF GASTROENTEROLOGYen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmzKY03695
dc.subjectAnticoagulanten_US
dc.subjectover-anticoagulationen_US
dc.subjectwarfarinen_US
dc.subjecthematomaen_US
dc.subjectintramural hematomaen_US
dc.titleA retrospective review of patients with non-traumatic spontaneous intramural hematomaen_US
dc.typeArticle
dspace.entity.typePublication

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