An unusual cause of abdominal pain

A 36-year-old woman presented to the Emergency Room because of abdominal pain associated with hematuria and red blood blending to stool. On admission, the physical examination revealed abdominal tenderness and diffuse cutaneous hematoma. The laboratory findings showed abnormal clotting tests with hi...

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Bibliographic Details
Published in:Acta clinica belgica (English ed. Online) 2003-07, Vol.58 (4), p.241-244
Main Authors: Terneu, S, Verhelst, D, Thys, F, Ketelslegers, E, Hantson, P, Wittebole, X
Format: Article
Language:English
Subjects:
4-Hydroxycoumarins - poisoning
Abdominal Pain - diagnosis
Abdominal Pain - etiology
Abdominal Pain - therapy
Adult
Emergency Service, Hospital
Female
Follow-Up Studies
Hematuria - chemically induced
Hematuria - diagnosis
Hematuria - therapy
Humans
Risk Assessment
Severity of Illness Index
Suicide, Attempted
Tomography, X-Ray Computed
Urography - methods
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Summary:A 36-year-old woman presented to the Emergency Room because of abdominal pain associated with hematuria and red blood blending to stool. On admission, the physical examination revealed abdominal tenderness and diffuse cutaneous hematoma. The laboratory findings showed abnormal clotting tests with high International Normalised Ratio (INR) and prolonged activated partial thromboplastin time. Hemoperitoneum and ureteral hematoma were noted on the abdomen computed tomography. The patient confessed she had ingested difenacoum for several weeks. All the symptoms resolved with fresh frozen plasma perfusion and vitamin K.
ISSN:1784-3286
2295-3337
DOI:10.1179/acb.2003.58.4.005