MR Elastography now at Star Imaging, Bund Garden. MRE assesses the entire liver and detects fibrosis at an earlier stage than any other imaging method.
Medical Cases
December-2016
HISTORY
Case Courtesy:
Dr. Liteen Patil
62 year old male with abdominal pain and vomittingfor 5-6 days
K/C/O DM and HTN
Had elevated creatinine levels at presentation
Known AF on Warfarin Therapy
Came for NCCT evaluation
62 year old male with abdominal pain and vomittingfor 5-6 days
Usually affects elderly patients on anticoagulation therapy
Usually associated with INR more than 4
Jejunum followed by the ileum and duodenum are the most common sites in descending order of frequency
Bowel wall thickening/hyperdensity/hyperdense ascites -can clinch the diagnosis. This along with the clinical history of anticoagulation therapy
Resolution of the hematoma usually occurs in a few weeks
The triad of warfarintoxicity, circumferential thickening of the small bowel, and intestinal obstruction is characteristic of spontaneous intramural small-bowel hematoma