{"id":569,"date":"2013-11-29T19:18:42","date_gmt":"2013-11-29T19:18:42","guid":{"rendered":"https:\/\/sred.ro\/?p=569"},"modified":"2022-01-18T13:12:31","modified_gmt":"2022-01-18T13:12:31","slug":"hematomul-parietal-intestinal-complicatie-a-tratamentului-anticoagulant-oral","status":"publish","type":"post","link":"https:\/\/sred.ro\/en\/hematomul-parietal-intestinal-complicatie-a-tratamentului-anticoagulant-oral\/","title":{"rendered":"Small bowel wall hematioma, a complication of oral anticoagulant treatment"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row][vc_column][vc_column_text]Prezent\u0103m cazul unei paciente \u00een v\u00e2rst\u0103 de 57, cunoscut\u0103 cu patologie cardiac\u0103 pentru care urmeaza\u00a0\u00a0tratament anticoagulant oral (acenocumarol). Pacienta s-a prezentat \u00een sec\u021bia de Gastroenterologie, pentru evaluare endoscopic\u0103, acuz\u00e2nd dureri epigastrice, grea\u021b\u0103 \u0219i v\u0103rs\u0103turi cu caracter alimentar. Examenul obiectiv \u00een momentul intern\u0103rii a eviden\u021biat un abdomen suplu, mobil cu respira\u021bia, discret sensibil la palpare \u00een epigastru. Biologic: Hb 12,6 g\/dl, Tr 226.000\/mmc, L\u00a0\u00a05.400\/mmc, VSH 35\/57 mm, INR 9,8, IP 8,11%, APTT 43\u201d. S-a efectuat endoscopie digestiva superioara care a pus in evidenta de la nivelul duodenului II p\u00e2n\u0103 la nivelul primelor anse jejunale, mucoasa cu zone intens congestionate, violacee, ce alterneaz\u0103 cu zone palide, ischemice. Examenul CT abdominal, la examinarea cu contrast administrat oral \u0219i IV a eviden\u021biat o \u00eengro\u0219are a pere\u021bilor tubului digestiv pornind de la nivelul duodenului II &#8211; III, inclusiv primele anse jejunale, care sugerau prezenta unui hematom la acest nivel. S-a oprit tratamentul anticoagulant oral, iar la o saptamana, manifestarile dispeptice s-au remis.[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_gallery type=&#8221;image_grid&#8221; images=&#8221;570&#8243;][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column][vc_column_text]Prezent\u0103m cazul unei paciente \u00een v\u00e2rst\u0103 de 57, cunoscut\u0103 cu patologie cardiac\u0103 pentru care urmeaza\u00a0\u00a0tratament anticoagulant oral (acenocumarol). Pacienta s-a prezentat \u00een sec\u021bia de Gastroenterologie, pentru evaluare endoscopic\u0103, acuz\u00e2nd dureri epigastrice, grea\u021b\u0103 \u0219i v\u0103rs\u0103turi cu caracter alimentar. Examenul obiectiv \u00een momentul intern\u0103rii a eviden\u021biat un abdomen suplu, mobil cu respira\u021bia, discret sensibil la palpare \u00een [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":571,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[26],"tags":[],"class_list":["post-569","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cazul-lunii"],"featured_image_src":{"landsacpe":["https:\/\/sred.ro\/wp-content\/uploads\/2021\/11\/thumb_67_default_big-699x445.jpeg",699,445,true],"list":["https:\/\/sred.ro\/wp-content\/uploads\/2021\/11\/thumb_67_default_big-463x348.jpeg",463,348,true],"medium":["https:\/\/sred.ro\/wp-content\/uploads\/2021\/11\/thumb_67_default_big-300x228.jpeg",300,228,true],"full":["https:\/\/sred.ro\/wp-content\/uploads\/2021\/11\/thumb_67_default_big.jpeg",699,532,false]},"_links":{"self":[{"href":"https:\/\/sred.ro\/en\/wp-json\/wp\/v2\/posts\/569","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sred.ro\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/sred.ro\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/sred.ro\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/sred.ro\/en\/wp-json\/wp\/v2\/comments?post=569"}],"version-history":[{"count":2,"href":"https:\/\/sred.ro\/en\/wp-json\/wp\/v2\/posts\/569\/revisions"}],"predecessor-version":[{"id":692,"href":"https:\/\/sred.ro\/en\/wp-json\/wp\/v2\/posts\/569\/revisions\/692"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/sred.ro\/en\/wp-json\/wp\/v2\/media\/571"}],"wp:attachment":[{"href":"https:\/\/sred.ro\/en\/wp-json\/wp\/v2\/media?parent=569"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sred.ro\/en\/wp-json\/wp\/v2\/categories?post=569"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sred.ro\/en\/wp-json\/wp\/v2\/tags?post=569"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}