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Anticoagulant-related abdominal hematomas: clinical and ct findings
(2018) Kurtuluş Öztürk, Esin; Acu, Berat; Öztürk, Saffet; Beyhan, Murat; Gökçe, Erkan; Önalan, Orhan
Background and Aims: We aimed to evaluate clinical features andcomputed tomography findings of anticoagulant-related abdominalhematomas. Material and Methods: We conducted a retrospectivesystematic study of 55 patients (mean age, 66±12 years; range, 29-84years) on anticoagulant therapy and diagnosed with abdominal hematomabetween March 2008 and May 2016. Patients data were evaluatedfor demographic characteristics, clinical manifestations, medicalhistory, associated factors, biochemical tests, computed tomographyfindings, treatment, and outcomes. Results: The most commonly usedanticoagulant agent was warfarin (72.7%), followed by enoxaparin(20%) and both warfarin and enoxaparin (7.3%). The main clinicalsymptoms were abdominal pain and distention. Among the total 85locations of hematomas, the most frequent locations were the rectusmuscle sheath (50.9%) and gastrointestinal tract (30.9%). According tothe Control Anticoagulation Committee criterion, 15 (27.3%) patientshad major hemorrhages. Conclusion: Prompt and accurate diagnosescan be made through better understanding the most common clinicaland computed tomography findings regarding anticoagulant-relatedabdominal hematomas. In addition, this has a direct impact on clinicalmanagement.