@article{article_425110, title={Anticoagulant related abdominal hematomas: Clinical and CT findings}, journal={Akademik Gastroenteroloji Dergisi}, volume={17}, pages={50–61}, year={2018}, DOI={10.17941/agd.425110}, author={Kurtuluş Öztürk, Esin and Acu, Berat and Öztürk, Saffet and Beyhan, Murat and Önalan, Orhan and Gökçe, Erkan}, keywords={Abdominal hematom,antikoagülan tedavi,bilgisayarlı tomografi}, abstract={<p class="MsoNormal" style="line-height:150%;"> <b> <span style="font-size:12pt;line-height:150%;font-family:’Times New Roman’, serif;">Background
and Aims: </span> </b> <span style="font-size:12pt;line-height:150%;font-family:’Times New Roman’, serif;"> We aimed to evaluate the clinical features and
computed tomography(CT) findings of anticoagulant-related abdominal hematomas. </span> </p> <p> </p> <p class="MsoNormal" style="line-height:150%;"> <b> <span style="font-size:12pt;line-height:150%;font-family:’Times New Roman’, serif;">Material and methods </span> </b> <b> <span style="font-size:12pt;line-height:150%;font-family:’Times New Roman’, serif;">: </span> </b> <span style="font-size:12pt;line-height:150%;font-family:’Times New Roman’, serif;"> This was a
systematic retrospective study of 55 patients (mean age: 66±12 years, range
29-84 years) on anticoagulant therapy who were diagnosed with abdominal
hematoma between March 2008 and May 2016.The patients were evaluated for
demographic characteristics, clinical manifestations, medical history,
associated factors, biochemical tests, CT findings, treatment and outcomes. </span> </p> <p> </p> <p class="MsoNormal" style="line-height:150%;"> <b> <span style="font-size:12pt;line-height:150%;font-family:’Times New Roman’, serif;">Results: </span> </b> <span style="font-size:12pt;line-height:150%;font-family:’Times New Roman’, serif;">
Warfarin was the most commonly used anticoagulant agent (72.7%), followed by
enoxaparin (20%), and both warfarin and enoxaparin (7.3%). The main clinical
symptoms were abdominal pain and abdominal distention. In total of 85 hematoma
location, the most frequent locations were the rectus muscle sheath (50.9%) and
gastrointestinal tract (30.9%). Fifteen (27.3%) patients had major hemorrhage
by using criteria of the Control Anticoagulation Comittee. </span> </p> <p> </p> <p> <b> <span style="font-size:12pt;line-height:115%;font-family:’Times New Roman’, serif;">Conclusion: </span> </b> <span style="font-size:12pt;line-height:115%;font-family:’Times New Roman’, serif;"> The knowledge of the most common clinical and
CT findings of anticoagulant-related abdominal hematomas allows prompt and
accurate diagnosis and has also direct impact on clinical management. </span>     <br /> </p>}, number={2}, publisher={Türk Gastroenteroloji Vakfı}