Submucosal Hematoma of the Sigmoid Colon as a Complication of Anticoagulation Treatment

Huijiang Zhou1, Shuai Wang2, Lin Zhu2

  • 1Department of General Surgery, the Fourth Affiliated Hospital, Zhejiang University School of Medicine, N1 Shangcheng Road, Yiwu, Zhejiang, 322000, China. 3307013@zju.edu.cn.

Insights

Anticoagulation therapy following coronary stent implantation can lead to rare but serious gastrointestinal complications. Surgical intervention is an effective treatment for severe submucosal colon bleeding in these patients.

Area of Science:

  • Cardiology
  • Gastroenterology
  • Surgical Oncology

Background:

  • Anticoagulation is vital post-coronary stent implantation for severe coronary heart disease.
  • Submucosal colon bleeding is a rare complication associated with anticoagulant use.

Observation:

  • A 70-year-old woman developed spontaneous sigmoid colon submucosal hematoma and active bleeding.
  • This complication occurred while on anticoagulant therapy after intracoronary stenting.

Findings:

  • The patient underwent a timely surgical operation for the bleeding.
  • Her recovery was uneventful under the care of a multidisciplinary team.

Implications:

  • Surgical intervention is a suitable treatment for intractable gastrointestinal bleeding.
  • This case highlights the importance of monitoring for rare anticoagulant complications after stenting.
Abstract

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