Acute Intestinal Obstruction on a Spontaneous Intra-Parietal Hematoma: Rare Complication Induced by Anti-coagulant Therapy

The acute bowel occlusion for the small intestine parietal hematoma due to anticoagulant treatment or vitamin K antagonists (VKA) is a rare pathology. Few cases have been reported in literature. The often clinical presentation is an acute abdomen. The evolution under medical treatment (conservative treatment) is favorable. In few cases, there is a persistance of occlusion and the surgical treatment is indicated. We report a case of a 67 year old male patient, known to have valvulopathy under VKA, who presented an intestinal occlusion due to parietal hematoma discovered on abdominal CT and who benefited medical treatment with a favorable evolution.