The role of diagnostic laparoscopy in intramural small bowel hemorrhage

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.

intramural ince Bağırsak Kanamasında Diagnostik Laparoskopinin Yeri

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.