Acute Abdomen Due to Uncontrolled Use of Warfarin: Spontaneous Intra-abdominal
Warfarin is an oral anticoagulant, which is commonly used in the treatment and prophylaxis of thromboembolic conditions. Bleeding is the primary adverse effect associated with warfarin. The majority of warfarin-related bleedings are spontaneous minor hemorrhages occurring in the subcutaneous or intr...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Galenos Yayinevi
2017-12-01
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| Series: | Haseki Tıp Bülteni |
| Subjects: | |
| Online Access: | http://www.hasekidergisi.com/archives/archive-detail/article-preview/acute-abdomen-due-to-uncontrolled-use-of-warfarin-/16603 |
| _version_ | 1797923136208896000 |
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| author | Fatih Dal Hasan Ökmen Turgay Erginel Meltem Küçük Yılmaz Önder Akkuş Serkan Sarı |
| author_facet | Fatih Dal Hasan Ökmen Turgay Erginel Meltem Küçük Yılmaz Önder Akkuş Serkan Sarı |
| author_sort | Fatih Dal |
| collection | DOAJ |
| description | Warfarin is an oral anticoagulant, which is commonly used in the treatment and prophylaxis of thromboembolic conditions. Bleeding is the primary adverse effect associated with warfarin. The majority of warfarin-related bleedings are spontaneous minor hemorrhages occurring in the subcutaneous or intramuscular tissues and can be treated by decreasing the dose of oral anticoagulants. However, although rare, it is possible to encounter spontaneous major bleedings with increased risk of mortality. Conservative approach is the preferred initial therapy for hemodynamically stable patients with major intra-abdominal hemorrhages that we define as the intermediate group patients. Nevertheless, surgery is required for hemodynamically unstable patients with acute abdominal pain in cases of ongoing active hemorrhage, generalized peritonitis, obstruction, acute abdomen, intestinal ischemia, and perforation. In this article, we present a rare case of acute abdomen and spontaneous intra-abdominal hemorrhage resulting from uncontrolled use of warfarin and a new classification requirement. |
| first_indexed | 2024-04-10T14:42:09Z |
| format | Article |
| id | doaj.art-0643f2d73e2946a8aa74af21e48d27d5 |
| institution | Directory Open Access Journal |
| issn | 1302-0072 2147-2688 |
| language | English |
| last_indexed | 2024-04-10T14:42:09Z |
| publishDate | 2017-12-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Haseki Tıp Bülteni |
| spelling | doaj.art-0643f2d73e2946a8aa74af21e48d27d52023-02-15T16:08:07ZengGalenos YayineviHaseki Tıp Bülteni1302-00722147-26882017-12-0155431531810.4274/haseki.43534Acute Abdomen Due to Uncontrolled Use of Warfarin: Spontaneous Intra-abdominalFatih Dal0Hasan Ökmen1Turgay Erginel2Meltem Küçük Yılmaz3Önder Akkuş4Serkan Sarı5University of Health Sciences, İstanbul Training and Research Hospital, Clinic of General Surgery, İstanbul, TurkeyUniversity of Health Sciences, İstanbul Training and Research Hospital, Clinic of General Surgery, İstanbul, TurkeyUniversity of Health Sciences, İstanbul Training and Research Hospital, Clinic of General Surgery, İstanbul, TurkeyUniversity of Health Sciences, İstanbul Training and Research Hospital, Clinic of General Surgery, İstanbul, TurkeyUniversity of Health Sciences, İstanbul Training and Research Hospital, Clinic of General Surgery, İstanbul, TurkeyUniversity of Health Sciences, İstanbul Training and Research Hospital, Clinic of General Surgery, İstanbul, TurkeyWarfarin is an oral anticoagulant, which is commonly used in the treatment and prophylaxis of thromboembolic conditions. Bleeding is the primary adverse effect associated with warfarin. The majority of warfarin-related bleedings are spontaneous minor hemorrhages occurring in the subcutaneous or intramuscular tissues and can be treated by decreasing the dose of oral anticoagulants. However, although rare, it is possible to encounter spontaneous major bleedings with increased risk of mortality. Conservative approach is the preferred initial therapy for hemodynamically stable patients with major intra-abdominal hemorrhages that we define as the intermediate group patients. Nevertheless, surgery is required for hemodynamically unstable patients with acute abdominal pain in cases of ongoing active hemorrhage, generalized peritonitis, obstruction, acute abdomen, intestinal ischemia, and perforation. In this article, we present a rare case of acute abdomen and spontaneous intra-abdominal hemorrhage resulting from uncontrolled use of warfarin and a new classification requirement.http://www.hasekidergisi.com/archives/archive-detail/article-preview/acute-abdomen-due-to-uncontrolled-use-of-warfarin-/16603Warfarinacute abdomenbleeding |
| spellingShingle | Fatih Dal Hasan Ökmen Turgay Erginel Meltem Küçük Yılmaz Önder Akkuş Serkan Sarı Acute Abdomen Due to Uncontrolled Use of Warfarin: Spontaneous Intra-abdominal Haseki Tıp Bülteni Warfarin acute abdomen bleeding |
| title | Acute Abdomen Due to Uncontrolled Use of Warfarin: Spontaneous Intra-abdominal |
| title_full | Acute Abdomen Due to Uncontrolled Use of Warfarin: Spontaneous Intra-abdominal |
| title_fullStr | Acute Abdomen Due to Uncontrolled Use of Warfarin: Spontaneous Intra-abdominal |
| title_full_unstemmed | Acute Abdomen Due to Uncontrolled Use of Warfarin: Spontaneous Intra-abdominal |
| title_short | Acute Abdomen Due to Uncontrolled Use of Warfarin: Spontaneous Intra-abdominal |
| title_sort | acute abdomen due to uncontrolled use of warfarin spontaneous intra abdominal |
| topic | Warfarin acute abdomen bleeding |
| url | http://www.hasekidergisi.com/archives/archive-detail/article-preview/acute-abdomen-due-to-uncontrolled-use-of-warfarin-/16603 |
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