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Laparoscopic Endoscopic Surgical Science The role of diagnostic laparoscopy in intramural small bowel hemorrhage [Laparosc Endosc Surg Sci ]
Laparosc Endosc Surg Sci . 2005; 12(2): 65-68

The role of diagnostic laparoscopy in intramural small bowel hemorrhage

Kağan Zengin, Ilknur Kılıç, Sinan Çarkman, Melih Paksoy, Metin Erdem
İstanbul Üniversitesi Cerrahpaşa Tıp Fakültesi Genel Cerrahi Anabilim Dalı, İstanbul

Intramural hematoma of the small intestine is a rare but serious complication of oral anticoag­ulant therapy. The treatment of choice is conservative but surgery should be prefered for cases in which the diagnosis is doubtful or for patients who have signs of bowel necrosis or peritoni­tis. We have performed diagnostic laparascopy and second look laparascopy on one patient who had been receiving chronic anticoagulant therapy and who presented to emergency room with symptoms of acute abdomen. When we want to make a decision about the viability of intestines and the viceral ischemi, second-look laparoscopy which is performed such as in this case prevents risks of laparatomy. This technique, which is simple and can. be done in a short time, is a minimally invasive procedure.

Keywords: Anticoagulants, diagnostic laparoscopy, second-look laparoscopy, intramural hem­orrhage

intramural ince Bağırsak Kanamasında Diagnostik Laparoskopinin Yeri

Kağan Zengin, Ilknur Kılıç, Sinan Çarkman, Melih Paksoy, Metin Erdem
İstanbul Üniversitesi Cerrahpaşa Tıp Fakültesi Genel Cerrahi Anabilim Dalı, İstanbul

Intramural hematoma of the small intestine is a rare but serious complication of oral anticoag­ulant therapy. The treatment of choice is conservative but surgery should be prefered for cases in which the diagnosis is doubtful or for patients who have signs of bowel necrosis or peritoni­tis. We have performed diagnostic laparascopy and second look laparascopy on one patient who had been receiving chronic anticoagulant therapy and who presented to emergency room with symptoms of acute abdomen. When we want to make a decision about the viability of intestines and the viceral ischemi, second-look laparoscopy which is performed such as in this case prevents risks of laparatomy. This technique, which is simple and can. be done in a short time, is a minimally invasive procedure.

Anahtar Kelimeler: Anticoagulants, diagnostic laparoscopy, second-look laparoscopy, intramural hem­orrhage

Kağan Zengin, Ilknur Kılıç, Sinan Çarkman, Melih Paksoy, Metin Erdem. The role of diagnostic laparoscopy in intramural small bowel hemorrhage. Laparosc Endosc Surg Sci . 2005; 12(2): 65-68

Corresponding Author: Kağan Zengin
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