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Updated: Jun 27, 2026

Murine Ileocolic Bowel Resection with Primary Anastomosis
Published on: October 29, 2014
Spontaneous intramural jejunal haematoma: a case report
Rashmi P Birla1, Kamal K Mahawar, Elena Yw Saw
1Department of General Surgery, University Hospital of North Tees, Hardwick Road, Stockton-on-Tees, Cleveland, UK. kamal_mahawar@hotmail.com.
Background:
Spontaneous intramural intestinal haematoma is a rare complication of anticoagulation therapy. A misdiagnosis may lead to an unnecessary and even hazardous surgical intervention.
Case Presentation:
An 85 year old lady presented to us with acute abdomen. She was on Warfarin and was found to have grossly deranged clotting parameters. Computed Tomography Scan revealed a long loop of markedly thick-walled proximal jejunum. A diagnosis of spontaneous intramural jejunal haematoma was made.
Conclusion:
She was successfully treated with conservative management with Vitamin K and blood products.
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