THE ACUTE ABDOMEN DUE TO USE OF ORAL ANTICOAGULANTS: SPONTANEOUS INTRAABDOMINAL HEMORRHAGE (A CASE REPORT)

Long term oral use of anticoagulant at prophylactic doses increase the tendency towards bleeding and can cause spontaneous bleedings. Although spontaneous bleedings often occur as hematemesis, melena, epistaxis and menorrhagia, they can rarely manifest as intraabdominal bleedings. This kind of bleeding can be misleading since it can be diagnosed as an acute abdominal syndrome. A rare emergency case of acute abdominal syndrome due to intraabdominal free blood is presented.

ORAL ANTÝKOAGULAN (WARFARÝN SODYUM) KULLANIMINA BAÐLI AKUT KARIN TABLOSU

Uzun süreli profilaksi veya tedavi amacýyla oral antikoagulan kullanýmý kanama eðilimini artýrýr ve spontan kanamalara sebep olabilir. Spontan kanamalar sýklýkla hematemez, melena, epistaksis, meno-metroraji v.b. þeklinde görülmekle beraber nadiren karýn içi boþluða kanama þeklinde de karþýmýza çýkabilir. Bu tür bir kanama akut karýn tablosu oluþturarak yanýltýcý olabilir. Bu yazýda, oral antikoagulan kullanýma baðlý karýn içi serbest kanama ve buna baðlý akut karýn tablosuyla acil servise baþvuran bir olgu, literatürde nadir rastlanmasý nedeniyle sunulmuþtur.