Small Bowel Hematoma after Abdominal Massage in Patient on Anticoagulation

Case Report | Open Access

Volume 2026 - 5 | Article ID 289 | http://dx.doi.org/10.51521/WJCRCI.2026.e52.435

Small Bowel Hematoma after Abdominal Massage in Patient on Anticoagulation

Academic Editor: John Bose

Received 2026-08-31
Revised 2026-09-12
Accepted 2026-09-14
Published 2026-09-17

Abdulaziz A Arishi, MD

Assistant Professor of Surgery, General Surgery Department, Faculty of Medicine, Jazan University, Jazan City, Saudi Arabia.

Corresponding Author: Assistant Professor of Surgery, General Surgery Department, Faculty of Medicine, Jazan University, Jazan City, Saudi Arabia.

Citation: Abdulaziz A Arishi, MD (2026) Small Bowel Hematoma after Abdominal Massage in Patient on Anticoagulation. World J Case Rep Clin Imag. 2026 September; 5(2),1-5.

Copyrights © Abdulaziz A Arishi, 2026, This article is licensed under the Creative Commons Attribution-Non Commercial-4.0-International-License-(CCBY-NC) (https://worldjournalofcasereports.org/blogpage/copyright-policy). Usage and distribution for commercial purposes require written permission.

Abstract:

Intramural small bowel hematoma (ISBH) is a rare condition that presents with the formation of a blood collection within the layers of the small intestines. Individuals with ISBH often experience severe abdominal pain accompanied by nausea, vomiting, and bowel obstruction. Although the condition is often considered rare among elderly patients, its incidence has been observed to increase following the wide use of long-term anticoagulation interventions by older adults. Thus, it is important for healthcare researchers to establish appropriate interventional strategies for alleviating symptoms of ISBH among elderly patients. This paper reports a case of a 71-year-old patient with long-term anticoagulation therapy who developed an acute small bowel obstruction. The case study emphasizes the need for heightened clinical suspicion for intramural bowel hematoma in elderly patients with progressive anticoagulation therapy.

Keywords: Intramural Small Bowel Hematoma, ISBH, Anticoagulation, Blood Collection, Small Intestines