Citation

Terneu S, Verhelst D, Thys F, Ketelslegers E, Hantson P, Wittebole X. Acta Clin. Belg. 2003; 58(4): 241-244.

Copyright

(Copyright © 2003, Maney Publishing)

DOI

10.1179/acb.2003.58.4.005

PMID

14635532

Abstract

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.

Language: en

Keywords

4-Hydroxycoumarins; Abdominal Pain; Adult; Emergency Service, Hospital; Female; Follow-Up Studies; Hematuria; Humans; Risk Assessment; Severity of Illness Index; Suicide, Attempted; Tomography, X-Ray Computed; Urography