Korean J Gastrointest Endosc.  2011 Jun;42(6):397-400.

Spontaneous Intramural Hematoma of the Sigmoid Colon Caused by Anti-platelet Agents

Affiliations
  • 1Department of Internal Medicine, Konyang University College of Medicine, Daejeon, Korea. stonedrag@hanmail.net

Abstract

A 71-year-old man presented at the emergency department with an acute onset of hematochezia and abdominal pain that had developed 1 day previously. He had no history of surgery and was taking aspirin (100 mg) and clopidogrel (75 mg). CT revealed a short segmental concentric lower density bowel wall thickening at the proximal sigmoid colon. Sigmoidoscopy showed blue-colored elevated lesions and ruptured intramural hematomas with submucosal bleeding in the sigmoid colon. These findings correspond to intramural hematomas of the sigmoid colon. His symptoms were reduced with conservative treatment stopping aspirin and clopidogrel for 20 days. Here we report a case of non-traumatic intramural hematoma of the colon in a patient receiving dual antiplatelet agents. This had never been reported.

Keyword

Intramural hematoma; Colon; Antiplatelet agents

MeSH Terms

Abdominal Pain
Aged
Aspirin
Colon
Colon, Sigmoid
Emergencies
Gastrointestinal Hemorrhage
Hematoma
Hemorrhage
Humans
Platelet Aggregation Inhibitors
Sigmoidoscopy
Ticlopidine
Aspirin
Platelet Aggregation Inhibitors
Ticlopidine
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