Spontaneous intra-peritoneal bleeding secondary to warfarin, presenting as an acute appendicitis: a case report and review of literature
2006
Case of Intra-abdominal Bleeding from Warfarin Mimicking Appendicitis
Sample size: 1
publication
Evidence: low
Author Information
Author(s): Sagar Jayesh, Kumar Vikas, Shah Dharmendra K, Bhatnagar Ashok
Primary Institution: Royal Free Hospital, London, UK
Hypothesis
Can warfarin therapy cause spontaneous intra-peritoneal bleeding that mimics acute appendicitis?
Conclusion
The study highlights the need for radiological investigations in patients on warfarin presenting with acute abdominal symptoms.
Supporting Evidence
- The patient had a history of pulmonary embolism and was on warfarin.
- The diagnosis of acute appendicitis was made based on clinical symptoms.
- Intra-operative findings revealed spontaneous intra-peritoneal bleeding.
Takeaway
A woman on blood-thinning medication had bleeding in her belly that looked like appendicitis, showing that doctors should check for this even if blood tests seem normal.
Methodology
Case report detailing the clinical presentation, diagnosis, and treatment of a patient.
Limitations
Only one case is reported, limiting generalizability.
Participant Demographics
41-year-old Caucasian female.
Digital Object Identifier (DOI)
Want to read the original?
Access the complete publication on the publisher's website