Submucosal Hematoma of the Sigmoid Colon as a Complication of Anticoagulation Treatment
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Updated: Feb 13, 2026

Creation of Colonic Anastomosis in Mice
Published on: January 17, 2019
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.
Background:
Anticoagulation therapy after coronary stent implantation is necessary and crucial for patients with severe coronary heart disease. Submucosal bleeding of the colon is an infrequent complication of anticoagulants.
Methods:
TWe present the case of a 70-year-old woman with spontaneous submucosal hematoma and active bleeding of her sigmoid colon due to anticoagulants after intracoronary stenting.
Results:
This patient underwent a timely surgical operation. Treated by our experienced multidisciplinary team, her recovery was smooth without any other major complications.
Conclusions:
Surgical intervention is an appropriate therapy for patients with intractable bleeding.
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